Individual
MISS SARAH BETH BASSETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 N 7TH ST, DELAVAN, WI 53115-1219
(262) 728-8593
Mailing address
213 N 7TH ST, DELAVAN, WI 53115-1219
(262) 728-8593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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