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1417628702
LISA BRENNAN
FOND DU LAC, WI
NPI
1417628702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 11148-33)
Enumeration Date
2021-09-25
Last Update Date
2021-09-25
Business Address
LISA BRENNAN FNP
912 S HICKORY ST
FOND DU LAC, WI 54935-5530
Phone number: 920-907-3922
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Mailing Address
LISA BRENNAN FNP
1964 CHIPPEWA CT
GRAFTON, WI 53024-2833
Phone number: 262-618-4075
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