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1780274191
JACK EUGENE SCOTT
EAU CLAIRE, WI
NPI
1780274191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 10295-33)
Enumeration Date
2021-01-20
Last Update Date
2021-01-22
Business Address
JACK EUGENE SCOTT NP-BC
2116 CRAIG RD
EAU CLAIRE, WI 54701-6149
Phone number: 715-858-4500
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Mailing Address
JACK EUGENE SCOTT NP-BC
1004 SUSSEX DR
EAU CLAIRE, WI 54703-2096
Phone number: 715-797-0427
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