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1295579951
AMY ROSE CRUM
KENOSHA, WI
NPI
1295579951
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Former Name
AMY ROSE BIRONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 15474-33)
Enumeration Date
2024-06-19
Last Update Date
2024-06-19
Business Address
AMY ROSE CRUM APNP
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-771-1695
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Mailing Address
AMY ROSE CRUM APNP
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-771-1695
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