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MRS. EILEEN MARIE GENSKE RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1790004877

Individual Registrant:
MRS. EILEEN MARIE GENSKE RN
Gender: F
Sole Proprietor

Location and contact information for practice:
205 SPRUCE ST  HORTONVILLE, WI 54944-9601 US
Tel: 920-858-7526  Fax: --

Contact information for business:
205 SPRUCE ST  HORTONVILLE, WI 54944-9601 US
Tel: 920-858-7526  Fax: --

Registration Information:
NPI: 1790004877
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
WI106349-030

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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