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Individual

SAMANTHA E COYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1905 E HUEBBE PKWY, BELOIT, WI 53511-1842
(608) 364-2200
Mailing address
508 HAMILTON ST, STOUGHTON, WI 53589-2020
(630) 488-1422

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15322-33
WI

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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