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Individual

MRS. RAMONA MARIE EKSTRAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
626 MEMORY LN, FENCE, WI 54120-0029
(715) 336-2198
Mailing address
626 MEMORY LANE, PO BOX 29, FENCE, WI 54120-0029
(715) 336-2198

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
31264031
WI
164W00000X
Licensed Practical Nurse
Primary
4703083035
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35069000
WI
Enumeration date
06/19/2009
Last updated
06/19/2009
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