JEFFREY MERLE FOSSO

WAUKESHA, WI
NPI1295949006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI  119111030)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
Mr. JEFFREY MERLE FOSSO RN
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Phone number: 262-549-6600
Mailing Address
Mr. JEFFREY MERLE FOSSO RN
2422 NORTH GRANDVIEW BLVD
WAUKESHA, WI 53188
Phone number: 262-549-6600
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