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Individual

JESSICA KLEMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
S7786 STATE ROAD 23, LOGANVILLE, WI 53943-9646
(608) 495-2405
Mailing address
S7786 STATE ROAD 23, LOGANVILLE, WI 53943-9646
(608) 495-2405

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319260-31
WI

Other

Enumeration date
04/27/2015
Last updated
04/27/2015
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