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1710723531
TA HER
LA CROSSE, WI
NPI
1710723531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 15504-33)
Enumeration Date
2024-07-02
Last Update Date
2024-11-15
Business Address
TA HER
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
TA HER
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Copy
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