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1861229833
LARISSA ANN CERVANTES
GREEN BAY, WI
NPI
1861229833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 245543-30)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
LARISSA ANN CERVANTES PMHNP-BC
4170 VANS LN
GREEN BAY, WI 54311-9541
Phone number: 920-265-7156
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Mailing Address
LARISSA ANN CERVANTES PMHNP-BC
4170 VANS LN
GREEN BAY, WI 54311-9541
Phone number:
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