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1508477142
KIAH ALLEN
OCONOMOWOC, WI
NPI
1508477142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 1027933)
Enumeration Date
2020-08-16
Last Update Date
2020-08-17
Business Address
KIAH ALLEN APNP
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number: 262-305-5239
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Mailing Address
KIAH ALLEN APNP
34700 VALLEY RD
OCONOMOWOC, WI 53066-4500
Phone number:
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