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Individual

MS. CYNTHIA L GASPARINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
207 HAYSTACK LN., ELKHORN, WI 53121
(262) 723-5000
Mailing address
1035 DODGE ST, LAKE GENEVA, WI 53147-1403
(262) 348-0664

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5498829310
WI
Enumeration date
07/05/2006
Last updated
07/08/2007
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