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1396247789
AMANDA HALLQUIST
BROOKFIELD, WI
NPI
1396247789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 8252-33)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
AMANDA HALLQUIST NP
21700 INTERTECH DR
BROOKFIELD, WI 53045-5197
Phone number: 262-532-8300
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Mailing Address
AMANDA HALLQUIST NP
4460 N 135TH ST
BROOKFIELD, WI 53005-1224
Phone number: 262-370-0239
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