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1710938899
CATHY DIANE SHINE
NEENAH, WI
NPI
1710938899
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 2005007423)
Enumeration Date
2006-05-13
Last Update Date
2011-12-19
Business Address
-- CATHY DIANE SHINE NP
1305 W. AMERICAN DRIVE
NEENAH, WI 54956-2883
Phone number: 920-725-9373
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Mailing Address
-- CATHY DIANE SHINE NP
1305 W. AMERICAN DRIVE
NEENAH, WI 54956-2883
Phone number: 920-725-9373
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