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1871041996
THERESA SUE IGNACZAK BULLIS
NEW BERLIN, WI
NPI
1871041996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI 7248-33)
Enumeration Date
2016-09-18
Last Update Date
2018-12-17
Business Address
Mrs. THERESA SUE IGNACZAK BULLIS CPNP-PC
4855 S MOORLAND RD
NEW BERLIN, WI 53151-7494
Phone number: 262-432-7599
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Mailing Address
Mrs. THERESA SUE IGNACZAK BULLIS CPNP-PC
9000 W WISCONSIN AVE # MS 958
MILWAUKEE, WI 53226-4874
Phone number: 414-266-7615
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