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1790923183
NICOLE M ISHAM
GREEN BAY, WI
NPI
1790923183
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Former Name
NICOLE M ARMSTRONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 2140-29)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
-- NICOLE M ISHAM R.D., C.D.
2845 GREENBRIER RD
GREEN BAY, WI 54311
Phone number: 920-288-3213
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Mailing Address
-- NICOLE M ISHAM R.D., C.D.
2845 GREENBRIER RD
GREEN BAY, WI 54311
Phone number:
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