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1730813502
ANASTASIA MARIE MATHIS
MANITOWOC, WI
NPI
1730813502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 13033-33)
Enumeration Date
2022-07-15
Last Update Date
2022-09-28
Business Address
ANASTASIA MARIE MATHIS APNP
4810 EXPO DR
MANITOWOC, WI 54220-9341
Phone number: 920-496-4700
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Mailing Address
ANASTASIA MARIE MATHIS APNP
505 JACOB DR
DENMARK, WI 54208-9768
Phone number: 920-680-3241
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