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1861020406
MICAH CALEB MCCLUNG
LA CROSSE, WI
NPI
1861020406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 9998)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
MICAH CALEB MCCLUNG APNP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
MICAH CALEB MCCLUNG APNP
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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