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1669229720
JAKE DEGROOT
APPLETON, WI
NPI
1669229720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 15326-33)
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
JAKE DEGROOT RN, MSN, FNP
1818 N MEADE ST
APPLETON, WI 54911-3454
Phone number: 920-731-8900
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Mailing Address
JAKE DEGROOT RN, MSN, FNP
5680 N AMETHYST DR
APPLETON, WI 54913-7743
Phone number:
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