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1083927412
MARY LOU ROETHEL
SHEBOYGAN, WI
NPI
1083927412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 4078-33)
Enumeration Date
2010-07-14
Last Update Date
2011-12-08
Business Address
-- MARY LOU ROETHEL MSN,NP-C,APNP
1621 N TAYLOR DR SUITE 300
SHEBOYGAN, WI 53081-1990
Phone number: 920-496-4700
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Mailing Address
-- MARY LOU ROETHEL MSN,NP-C,APNP
1621 N TAYLOR DR SUITE 300
SHEBOYGAN, WI 53081-1990
Phone number: 920-496-4700
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