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1679773915
JENNIFER LEE PRAVECHEK
DE PERE, WI
NPI
1679773915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 285485)
Enumeration Date
2007-07-24
Last Update Date
2013-08-21
Business Address
-- JENNIFER LEE PRAVECHEK NP-C
555 REDBIRD CIR SUITE 200
DE PERE, WI 54115-7977
Phone number: 920-338-6820
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Mailing Address
-- JENNIFER LEE PRAVECHEK NP-C
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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