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1366767006
KRIS A HOMB
FOND DU LAC, WI
NPI
1366767006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 57003)
Enumeration Date
2010-04-06
Last Update Date
2020-11-16
Business Address
Dr. KRIS A HOMB M.D.
421 CAMELOT DR
FOND DU LAC, WI 54935-8335
Phone number: 920-926-8571
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Mailing Address
Dr. KRIS A HOMB M.D.
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8571
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