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1114615895
KATHERINE BOUGIE
MILWAUKEE, WI
NPI
1114615895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
KATHERINE BOUGIE
2301 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-585-1000
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Mailing Address
KATHERINE BOUGIE
W142N10576 MAGNOLIA DR
GERMANTOWN, WI 53022-6217
Phone number: 414-507-6199
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