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1154887453
AMANDA LARSON
MILWAUKEE, WI
NPI
1154887453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 9077-33)
Enumeration Date
2019-02-12
Last Update Date
2019-03-05
Business Address
AMANDA LARSON APRN
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone number: 414-266-6943
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Mailing Address
AMANDA LARSON APRN
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-6943
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