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1699967000
JEFFERY E KOBERNUSZ
MADISON, WI
NPI
1699967000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 144524)
Enumeration Date
2007-08-10
Last Update Date
2021-02-16
Business Address
JEFFERY E KOBERNUSZ NP
4602 EASTPARK BLVD
MADISON, WI 53718-2002
Phone number: 608-263-7540
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Mailing Address
JEFFERY E KOBERNUSZ NP
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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