PA KOU VANG THAO

APPLETON, WI
NPI1982133807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  7641-33)
Enumeration Date2017-06-05
Last Update Date2017-06-05
Business Address
Mrs. PA KOU VANG THAO FNP-BC
508 W WISCONSIN AVE
APPLETON, WI 54911-4337
Phone number: 920-731-6304
Mailing Address
Mrs. PA KOU VANG THAO FNP-BC
315 BIRCH ST
HORTONVILLE, WI 54944-9355
Phone number:
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