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1316594468
MICHELLE MAE FOWLES CEVA
GREEN BAY, WI
NPI
1316594468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 9463-33)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
Miss MICHELLE MAE FOWLES CEVA NP
622 BODART ST
GREEN BAY, WI 54301-4923
Phone number: 920-437-9773
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Mailing Address
Miss MICHELLE MAE FOWLES CEVA NP
825 N CLAY ST
DE PERE, WI 54115-3627
Phone number: 920-492-6160
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