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Individual

MONICA ANTOINETTE BENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4308 N 42ND ST, MILWAUKEE, WI 53216-1620
(414) 447-0520
Mailing address
4308 N 42ND ST, MILWAUKEE, WI 53216-1620
(414) 447-0520

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160563-030
WI

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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