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Individual

MRS. SHARON ANN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
961 CENTER ST, LAKE MILLS, WI 53551-1928
(920) 945-0266
Mailing address
961 CENTER ST, LAKE MILLS, WI 53551-1928

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304262-031
WI

Other

Enumeration date
12/02/2008
Last updated
12/02/2008
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