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1467635839
TERESA JOANNE WATTERS
GREEN BAY, WI
NPI
1467635839
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Former Name
TERESA SLAGLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 3316-33)
Enumeration Date
2007-12-09
Last Update Date
2010-08-25
Business Address
-- TERESA JOANNE WATTERS
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-7411
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Mailing Address
-- TERESA JOANNE WATTERS
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-7411
Copy
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