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1225004757
STACI M KOTHBAUER
MADISON, WI
NPI
1225004757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 13813430)
Enumeration Date
2006-02-24
Last Update Date
2020-12-04
Business Address
STACI M KOTHBAUER CRNA
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-251-6100
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Mailing Address
STACI M KOTHBAUER CRNA
700 S PARK ST
MADISON, WI 53715-1830
Phone number: 608-251-6100
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