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1861871659
LUIS VARGAS
GREEN BAY, WI
NPI
1861871659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: WI 5331-33)
Enumeration Date
2015-05-26
Last Update Date
2020-03-27
Business Address
LUIS VARGAS APNP
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4560
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Mailing Address
LUIS VARGAS APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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