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1548942295
SUSAN LISA GRISWOLD
WINNEBAGO, WI
NPI
1548942295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 14310-33)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
Ms. SUSAN LISA GRISWOLD APNP
1505 NORTH DR
WINNEBAGO, WI 54985
Phone number: 920-426-4310
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Mailing Address
Ms. SUSAN LISA GRISWOLD APNP
457 W 11TH AVE
OSHKOSH, WI 54902-6413
Phone number: 920-410-6518
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