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Individual

KRISTIE R. PETRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162531-030
WI

Other

Enumeration date
01/16/2009
Last updated
02/25/2013
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