Individual
MS. LARAE JEAN BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-7990
(920) 831-7932
Mailing address
3017 CRUSADE LN, GREEN BAY, WI 54313-5401
(920) 498-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77266
WI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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