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Individual

MRS. CHER KRISTINE BIRNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
763 IMPERIAL CT, WEST BEND, WI 53095-4319
(262) 388-0881
Mailing address
763 IMPERIAL CT, WEST BEND, WI 53095-4319
(262) 388-0881

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306804-31
WI

Other

Enumeration date
12/15/2013
Last updated
12/15/2013
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