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1407530934
LOGAN ELYSE POCKL
KENOSHA, WI
NPI
1407530934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 14082-33)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
LOGAN ELYSE POCKL APNP
9916 75TH ST STE 205
KENOSHA, WI 53142-7583
Phone number: 262-942-4000
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Mailing Address
LOGAN ELYSE POCKL APNP
9916 75TH ST STE 205
KENOSHA, WI 53142-7583
Phone number: 262-942-4000
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