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Kristie Lynn Gering

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NPI Number Detailed Information

Provider Information:

Name: Kristie Lynn Gering
Gender: F
Provider License Number If Given: 39046

NPI Information:

NPI: 1245233287
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/4/2010

Provider Business Mailing Address:

Address: 2449 COUNTY HIGHWAY I
Chippewa Falls, WI 54729
Phone Number: 7157239138
Fax Number: 7157238633

Provider Business Practice Location Address:

Address: 2449 COUNTY HIGHWAY I
Chippewa Falls, WI 54729
Phone Number: 7157239138
Fax Number: 7157238633

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: WI

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