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Nursing Service Providers Licensed Practical Nurse

Provider NPI: 1538205018

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 262-790-0933  Fax: --

Business Mailing Address:
Tel: 262-251-8766  Fax: --

NPI Information:
NPI: 1538205018
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 164W00000X





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