Individual
PA KOU CHEE THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 BLUFF AVE, SHEBOYGAN, WI 53081-2764
(920) 287-2207
Mailing address
804 BLUFF AVE, SHEBOYGAN, WI 53081-2764
(920) 287-2207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162725-030
WI
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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