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MRS. LINDA LEONA WASTLICK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
259 W 5TH ST, RICHLAND CENTER, WI 53581-1629
(608) 647-6662
Mailing address
259 W 5TH ST, RICHLAND CENTER, WI 53581-1629
(608) 647-6662

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15191-031
WI

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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