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1245613066
BRENT D CHIAPUSIO
GREEN BAY, WI
NPI
1245613066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 167986)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- BRENT D CHIAPUSIO CRNA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-431-5582
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Mailing Address
-- BRENT D CHIAPUSIO CRNA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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