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1649655952
DEZERAY CLARE MATOTT
CHIPPEWA FALLS, WI
NPI
1649655952
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Former Name
DEZERAY CLARE TOMESH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 6503-33)
Enumeration Date
2015-07-28
Last Update Date
2015-07-28
Business Address
Dr. DEZERAY CLARE MATOTT NP
12961 27TH AVE
CHIPPEWA FALLS, WI 54729-5699
Phone number: 715-738-3700
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Mailing Address
Dr. DEZERAY CLARE MATOTT NP
12961 27TH AVE
CHIPPEWA FALLS, WI 54729-5699
Phone number: 715-738-3700
Copy
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