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1750841482
JOHANNA LOUISE GROSS
OAK CREEK, WI
NPI
1750841482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 9156-33)
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
JOHANNA LOUISE GROSS
7901 S 6TH ST
OAK CREEK, WI 53154-2010
Phone number: 414-346-8000
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Mailing Address
JOHANNA LOUISE GROSS
4963 N 125TH ST
BUTLER, WI 53007-1532
Phone number: 262-370-7460
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