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1902802978
CAROL M STORK
EAU CLAIRE, WI
NPI
1902802978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 2949-033)
Enumeration Date
2005-06-24
Last Update Date
2010-11-04
Business Address
-- CAROL M STORK RN, FNP
2240 EASTRIDGE CENTER
EAU CLAIRE, WI 54701
Phone number: 715-383-2900
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Mailing Address
-- CAROL M STORK RN, FNP
2240 EASTRIDGE CTR
EAU CLAIRE, WI 54701-3410
Phone number: 715-838-2900
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