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Registrant NPI Number: 1992972913

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
11915 TORMEY RD  STITZER, WI 53825-9752 US
Tel: 608-943-8416  Fax: --

Contact information for business:
11915 TORMEY RD  STITZER, WI 53825-9752 US
Tel: 608-943-8416  Fax: --

Registration Information:
NPI: 1992972913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse

Legacy codes, insurance codes and state license numbers:



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