Individual
MISS SABINA BORGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 N 119TH STREET, WAUWATOSA, WI 53226
(414) 526-4172
Mailing address
1952 N 119TH STREET, WAUWATOSA, WI 53226
(414) 526-4172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313000
WI
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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