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1649522368
JAMIE L LODES
APPLETON, WI
NPI
1649522368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 5080)
Enumeration Date
2012-10-04
Last Update Date
2012-10-04
Business Address
-- JAMIE L LODES APNP
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 920-735-7645
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Mailing Address
-- JAMIE L LODES APNP
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3200
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