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1316635923
SAMANTHA NICHOLE CASSITY
KENOSHA, WI
NPI
1316635923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 13824)
Enumeration Date
2023-05-01
Last Update Date
2023-10-06
Business Address
SAMANTHA NICHOLE CASSITY
2707 15TH PL
KENOSHA, WI 53140-4947
Phone number: 262-551-2700
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Mailing Address
SAMANTHA NICHOLE CASSITY
2707 15TH PL
KENOSHA, WI 53140-4947
Phone number: 262-551-2700
Copy
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