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1558379909
LISA GUNDERSON
MENASHA, WI
NPI
1558379909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 518-033)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
-- LISA GUNDERSON NP
2005 MIDWAY RD
MENASHA, WI 54952-7002
Phone number: 920-832-8500
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Mailing Address
-- LISA GUNDERSON NP
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3298
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