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Organization

LA CLINICA DE LOS CAMPESINOS, INC

Active
Other names
Noble Community Clinics RDS Wautoma
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEN DORFF (DIRECTOR OF PHARMACY)
(920) 647-8984
Entity
Organization

Contact information

Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 647-8984
(920) 647-8991
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(920) 647-8984
(920) 647-8991

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
03/13/2025
Last updated
06/17/2025
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