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1376026492
REBECCA EDWARDS KOSLOV
MADISON, WI
NPI
1376026492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 8803)
Enumeration Date
2018-09-14
Last Update Date
2021-01-20
Business Address
REBECCA EDWARDS KOSLOV
2880 UNIVERSITY AVE
MADISON, WI 53705-3644
Phone number: 608-698-6171
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Mailing Address
REBECCA EDWARDS KOSLOV
446 PINE LAWN PKWY
VERONA, WI 53593-9167
Phone number: 608-698-6171
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