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1316681950
MYRA JADE BELL
OCONOMOWOC, WI
NPI
1316681950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 11190)
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
MYRA JADE BELL CPNP-PC
970 S SILVER LAKE ST STE 102
OCONOMOWOC, WI 53066-3802
Phone number: 262-569-7100
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Mailing Address
MYRA JADE BELL CPNP-PC
3186 CONSERVANCY ESTATES LN
SUN PRAIRIE, WI 53590-9241
Phone number: 262-212-0794
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