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1528521150
JODIE THERESA DIEMER
LA CROSSE, WI
NPI
1528521150
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Former Name
JODIE THERESA DEVRIES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 7804)
Enumeration Date
2019-04-10
Last Update Date
2022-09-14
Business Address
JODIE THERESA DIEMER
815 10TH ST S
LA CROSSE, WI 54601-4764
Phone number: 608-785-0940
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Mailing Address
JODIE THERESA DIEMER
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 507-284-2511
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