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Organization

NEW HAIR, LLC

Active
Other names
Nell's Wigs and Boutique
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STACEY MARIE NELLEN-KOLZE CMF (OWNER/MEMBER)
(920) 393-4912
Entity
Organization

Contact information

Practice address
1445 NORTH ROAD, UNIT #1, GREEN BAY, WI 54313-5725
(920) 393-4912
Mailing address
1445 NORTH ROAD, UNIT 1, GREEN BAY, WI 54313-5725
(920) 393-4912

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/26/2012
Last updated
01/21/2022
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