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1316164213
SUSAN MARIE PEDERSON
LA CROSSE, WI
NPI
1316164213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: WI 118903-030)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Ms. SUSAN MARIE PEDERSON RN
1407 SAINT ANDREW ST
LA CROSSE, WI 54603-3301
Phone number: 608-785-5891
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Mailing Address
Ms. SUSAN MARIE PEDERSON RN
1407 SAINT ANDREW ST
LA CROSSE, WI 54603-3301
Phone number: 608-785-5891
Copy
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