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1821415795
BRENDA KIBOLA
EAU CLAIRE, WI
NPI
1821415795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI 68970)
Enumeration Date
2014-03-27
Last Update Date
2024-04-11
Business Address
BRENDA KIBOLA MD
2004 HIGHLAND AVE STE 2B
EAU CLAIRE, WI 54701-4389
Phone number: 715-317-5466
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Mailing Address
BRENDA KIBOLA MD
PO BOX 473
RICE LAKE, WI 54868-0473
Phone number: 715-317-5466
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