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1770030157
REBEKAH R VANDEWALLE
GREEN BAY, WI
NPI
1770030157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 7128-33)
Enumeration Date
2016-09-02
Last Update Date
2019-05-28
Business Address
REBEKAH R VANDEWALLE APNP
725 S WEBSTER AVE
GREEN BAY, WI 54301-3500
Phone number: 920-430-7100
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Mailing Address
REBEKAH R VANDEWALLE APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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