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1558003723
KELLY EDLEBECK
SHEBOYGAN, WI
NPI
1558003723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 12165-33)
Enumeration Date
2022-04-08
Last Update Date
2023-02-09
Business Address
KELLY EDLEBECK APNP
1411 N TAYLOR DR
SHEBOYGAN, WI 53081-3043
Phone number: 920-496-4700
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Mailing Address
KELLY EDLEBECK APNP
1411 N TAYLOR DR
SHEBOYGAN, WI 53081-3043
Phone number: 920-496-4700
Copy
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