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Individual

MRS. CAROLYN KAY CASPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
N68W23916 DONNA DR, SUSSEX, WI 53089-2706
(262) 246-4041
(262) 246-4547
Mailing address
N68W23916 DONNA DR, SUSSEX, WI 53089-2706
(262) 246-4041
(262) 246-4547

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94263-030
WI
163WH0200X
Home Health Registered Nurse
94263-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39851200
WI
Enumeration date
04/07/2006
Last updated
08/28/2007
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