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Individual

MRS. DEBRA LYNN GOPLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
24096 HWY Z, RICHLAND CENTER, WI 53581
(608) 647-1137
Mailing address
21002 BUCK RUN LN, RICHLAND CENTER, WI 53581-8650
(608) 647-2190

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2243824
WI
Enumeration date
11/17/2006
Last updated
07/09/2007
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