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1902153844
JENNIFER KRISTIN PROM
CEDARBURG, WI
NPI
1902153844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 4891-33)
Enumeration Date
2012-08-09
Last Update Date
2012-08-09
Business Address
Mrs. JENNIFER KRISTIN PROM APNP
9025 OAKRIDGE LN
CEDARBURG, WI 53012-9388
Phone number: 262-375-6858
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Mailing Address
Mrs. JENNIFER KRISTIN PROM APNP
9025 OAKRIDGE LN
CEDARBURG, WI 53012-9388
Phone number: 262-375-6858
Copy
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