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1750096145
MARY STAMPLE
APPLETON, WI
NPI
1750096145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WI 13509-33)
Enumeration Date
2023-01-19
Last Update Date
2023-09-19
Business Address
MARY STAMPLE APNP
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913-8556
Phone number: 920-416-8577
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Mailing Address
MARY STAMPLE APNP
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913-8556
Phone number: 920-416-8577
Copy
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