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1073595971
QUENTIN R KASUBOSKI
KENOSHA, WI
NPI
1073595971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 130347030)
Enumeration Date
2005-11-16
Last Update Date
2007-07-08
Business Address
-- QUENTIN R KASUBOSKI NP
10400 75TH ST AURORA MEDICAL CENTER
KENOSHA, WI 53142-7884
Phone number: 262-697-7000
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Mailing Address
-- QUENTIN R KASUBOSKI NP
PO BOX 3043
OAK BROOK, IL 60522-3043
Phone number: 630-734-0200
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