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1184974826
KATIE SUE BRUCKNER
PLYMOUTH, WI
NPI
1184974826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 5007-33)
Enumeration Date
2012-09-10
Last Update Date
2016-09-01
Business Address
Mrs. KATIE SUE BRUCKNER APNP
1 PERSNICKETY PL
PLYMOUTH, WI 53073-3544
Phone number: 920-892-3468
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Mailing Address
Mrs. KATIE SUE BRUCKNER APNP
1 PERSNICKETY PL
PLYMOUTH, WI 53073-3544
Phone number: 920-892-3468
Copy
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