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1053558700
KATIE LARSON
MILWAUKEE, WI
NPI
1053558700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 3532-33)
Enumeration Date
2009-01-17
Last Update Date
2012-03-19
Business Address
-- KATIE LARSON
7235 W APPLETON AVE
MILWAUKEE, WI 53216-1932
Phone number: 414-455-3738
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Mailing Address
-- KATIE LARSON
7235 W APPLETON AVE
MILWAUKEE, WI 53216-1932
Phone number: 414-455-3738
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