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MRS. PAULA KAY WISEHART LPN

>> Specialist >> Other Service Providers

Registrant NPI Number: 1205389079

Individual Registrant:
MRS. PAULA KAY WISEHART LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
2525 BIG BEAR DR  SEDALIA, CO 80135-4412 US
Tel: 720-724-4166  Fax: --

Contact information for business:
2525 BIG BEAR DR  SEDALIA, CO 80135-4412 US
Tel: 720-724-4166  Fax: --

Registration Information:
NPI: 1205389079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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