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Individual

MRS. WENDY ANN BECKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
N71W23287 HOMESTEAD RD, SUSSEX, WI 53089-3251
(262) 246-3321
(262) 246-0093
Mailing address
N71W23287 HOMESTEAD RD, SUSSEX, WI 53089-3251
(262) 246-3321
(262) 246-0093

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308380
WI

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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