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Individual

MRS. MARY BETH PATTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3415 N 127TH ST, BROOKFIELD, WI 53005-3117
(262) 781-8144
(262) 781-8552
Mailing address
1502 SAINT CHARLES ST, WAUWATOSA, WI 53213-2757
(414) 257-1938
(262) 257-1949

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
892026
WI

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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