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1144364001
MARY FOURNESS
WAUKESHA, WI
NPI
1144364001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 1754033)
Enumeration Date
2007-02-16
Last Update Date
2013-08-01
Business Address
-- MARY FOURNESS A.P.N.P.
717 W MORELAND BLVD PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188-2432
Phone number: 262-542-9100
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Mailing Address
-- MARY FOURNESS A.P.N.P.
717 W MORELAND BLVD PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC
WAUKESHA, WI 53188-2432
Phone number: 262-542-9100
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