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1942794557
BRIAN L LUPO
SHEBOYGAN, WI
NPI
1942794557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WI 8424)
Enumeration Date
2018-06-18
Last Update Date
2022-07-19
Business Address
BRIAN L LUPO CRNA
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-451-5000
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Mailing Address
BRIAN L LUPO CRNA
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-451-5000
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