Individual
MRS. ANGELA J BEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
334 TERRACE AVE, MARINETTE, WI 54143-2711
(715) 735-8916
Mailing address
3366 WIGGINS WAY, GREEN BAY, WI 54311
(715) 330-0005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
01/21/2007
Last updated
10/24/2007
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