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1487884623
AUDRA HERMANSON
GREEN BAY, WI
NPI
1487884623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 3802-33)
Enumeration Date
2009-07-22
Last Update Date
2017-11-01
Business Address
-- AUDRA HERMANSON NP
1821 S WEBSTER AVE
GREEN BAY, WI 54301-2253
Phone number: 920-272-1610
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Mailing Address
-- AUDRA HERMANSON NP
PO BOX 1866
GREEN BAY, WI 54305-1866
Phone number: 920-445-7226
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