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1821725490
BRENDA LEA ELLICKSON
MILWAUKEE, WI
NPI
1821725490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 13038-33)
Enumeration Date
2022-08-04
Last Update Date
2022-11-30
Business Address
BRENDA LEA ELLICKSON DNP
2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215-3678
Phone number: 414-649-7900
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Mailing Address
BRENDA LEA ELLICKSON DNP
2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215-3678
Phone number: 414-649-7900
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