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Individual

KRISTINE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RA

Contact information

Practice address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4518
(715) 538-4535
Mailing address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4518
(715) 538-4535

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
113896
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113896
LICENSE
WI
Enumeration date
01/22/2007
Last updated
07/08/2007
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