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1215453550
NASTASSJA LACY PETERMANN
MADISON, WI
NPI
1215453550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 7887)
Enumeration Date
2017-08-18
Last Update Date
2021-01-13
Business Address
NASTASSJA LACY PETERMANN
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 262-215-8333
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Mailing Address
NASTASSJA LACY PETERMANN
201 S BEDFORD ST APT 301
MADISON, WI 53703-3889
Phone number:
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