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1346667151
MELISSA L TATE
FOND DU LAC, WI
NPI
1346667151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 5710)
Enumeration Date
2014-03-19
Last Update Date
2022-05-04
Business Address
MELISSA L TATE APNP
912 S HICKORY ST
FOND DU LAC, WI 54935-5530
Phone number: 920-907-3922
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Mailing Address
MELISSA L TATE APNP
912 S HICKORY ST
FOND DU LAC, WI 54935-5530
Phone number: 920-907-9322
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