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1194122861
LAURA B PETHAN
SUN PRAIRIE, WI
NPI
1194122861
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Former Name
LAURA B SCHARENBROCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 7462-33)
Enumeration Date
2014-11-25
Last Update Date
2020-04-24
Business Address
LAURA B PETHAN APNP
10 TOWER DR
SUN PRAIRIE, WI 53590-1239
Phone number: 608-825-3008
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Mailing Address
LAURA B PETHAN APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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