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1760459929
KATHLEEN K SHANOVICH
MADISON, WI
NPI
1760459929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 1186)
Enumeration Date
2006-03-07
Last Update Date
2009-04-30
Business Address
-- KATHLEEN K SHANOVICH NP
600 HIGHLAND AVE
MADISON, WI 53792
Phone number: 608-263-6420
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Mailing Address
-- KATHLEEN K SHANOVICH NP
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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