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1942082029
LAURA NISSEN
KIMBERLY, WI
NPI
1942082029
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Former Name
LAURA COOKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5793-024)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
LAURA NISSEN
825 COBBLESTONE LN
KIMBERLY, WI 54136-2116
Phone number: 920-282-6658
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Mailing Address
LAURA NISSEN
2904 E CORRIDOR DR
APPLETON, WI 54913-6722
Phone number: 920-915-9675
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