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1780748343
KELLY S THAYER
TOMAH, WI
NPI
1780748343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 2899)
Enumeration Date
2006-12-20
Last Update Date
2021-01-19
Business Address
KELLY S THAYER APNP
501 GOPHER DR
TOMAH, WI 54660-4513
Phone number: 608-372-2181
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Mailing Address
KELLY S THAYER APNP
501 GOPHER DR
TOMAH, WI 54660-4513
Phone number: 608-372-2181
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