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Organization
TOWN OF BRAZEAU
Active
Organization
TOWN OF BRAZEAU
Active
Other names
Town of Brazeau Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
SUE KANACK (PRESIDENT)
(920) 897-2793
Entity
Organization
Contact information
Practice address
12071 PARKWAY RD, POUND, WI 54161-8707
(920) 897-2793
Mailing address
9151 GRAVEL LN, LENA, WI 54139-9774
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Enumeration date
05/19/2006
Last updated
09/05/2012
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