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1134492721
NICOLE P CORK
LA CROSSE, WI
NPI
1134492721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 8419-120)
Enumeration Date
2012-02-14
Last Update Date
2012-02-14
Business Address
-- NICOLE P CORK BSW
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-785-3611
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Mailing Address
-- NICOLE P CORK BSW
W12923 5TH ST
OSSEO, WI 54758-7496
Phone number: 715-533-1164
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