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1225756000
PAMELA S KOOSMANN
RICE LAKE, WI
NPI
1225756000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: WI 122555-30)
Enumeration Date
2022-08-18
Last Update Date
2022-08-18
Business Address
PAMELA S KOOSMANN RN
32 CAMELOT LN LOT 123
RICE LAKE, WI 54868-8625
Phone number: 715-296-0702
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Mailing Address
PAMELA S KOOSMANN RN
32 CAMELOT LN LOT 123
RICE LAKE, WI 54868-8625
Phone number: 715-296-0702
Copy
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