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1760157234
MA. THERESA CORPUZ FREDRICKSON
LA CROSSE, WI
NPI
1760157234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: WI 11200-33)
Enumeration Date
2021-08-16
Last Update Date
2024-07-31
Business Address
MA. THERESA CORPUZ FREDRICKSON DNP, AGPCNP-BC
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
MA. THERESA CORPUZ FREDRICKSON DNP, AGPCNP-BC
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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