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1811354301
KATIE WEIDNER
GREEN BAY, WI
NPI
1811354301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2471C3401X Radiologic Technologist Computed Tomography
(Licence: WI 427695)
Enumeration Date
2016-01-28
Last Update Date
2016-01-28
Business Address
KATIE WEIDNER RT(R)(CT)
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-3411
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Mailing Address
KATIE WEIDNER RT(R)(CT)
2586 GEMINI RD
GREEN BAY, WI 54311-4608
Phone number: 920-217-6212
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