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1114071289
BONNIE RAE NUSSBAUM
GREEN BAY, WI
NPI
1114071289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: WI 1598-057)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
DR. BONNIE RAE NUSSBAUM PH.D.
3600 VELP AVE STE 4-A
GREEN BAY, WI 54313-6503
Phone number: 920-884-7445
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Mailing Address
DR. BONNIE RAE NUSSBAUM PH.D.
3600 VELP AVE STE 4-A
GREEN BAY, WI 54313-6503
Phone number: 920-884-7445
Copy
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