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Individual

TIFFANY R SOCKNAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 WILDWOOD DR, PLAIN, WI 53577-9644
(608) 234-2425
Mailing address
6804 HUBBARD AVE, MIDDLETON, WI 53562-3226
(608) 234-2425

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Enumeration date
03/28/2008
Last updated
03/28/2008
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