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1245732346
JOSHUA P DOUMA
GREEN BAY, WI
NPI
1245732346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 178196-30)
Enumeration Date
2018-03-05
Last Update Date
2018-03-17
Business Address
JOSHUA P DOUMA CRNA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3605
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Mailing Address
JOSHUA P DOUMA CRNA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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