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Robert H House

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NPI Number Detailed Information

Provider Information:

Name: Robert H House
Gender: M
Provider License Number If Given: 17291

NPI Information:

NPI: 1356336879
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 635 W OSHKOSH ST
Ripon, WI 54971
Phone Number: 9207456900
Fax Number:

Provider Business Practice Location Address:

Address: 635 W OSHKOSH ST
Ripon, WI 54971
Phone Number: 9207456900
Fax Number:

Provider Taxonomy:

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

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