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1467110148
TABITHA CHRISTINE UITENBROEK
APPLETON, WI
NPI
1467110148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 11593-33)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
TABITHA CHRISTINE UITENBROEK APNP
4090 N ORION LN
APPLETON, WI 54913-7619
Phone number: 920-427-9873
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Mailing Address
TABITHA CHRISTINE UITENBROEK APNP
4090 N ORION LN
APPLETON, WI 54913-7619
Phone number: 920-427-9873
Copy
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