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1710947064
JEAN BAGIN
WAUKESHA, WI
NPI
1710947064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 1728)
Enumeration Date
2006-03-23
Last Update Date
2012-07-25
Business Address
-- JEAN BAGIN NP
N14W23900 STONE RIDGE DR PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188-1135
Phone number: 262-574-8000
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Mailing Address
-- JEAN BAGIN NP
N14W23900 STONE RIDGE DR PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53188-1135
Phone number: 262-574-8000
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