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Individual
KIRSTEN SUZANNE KOFFARNUS
Active
Individual
KIRSTEN SUZANNE KOFFARNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP, APNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4096-33
WI
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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