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Individual

DEBORAH SKOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
(715) 845-1977
Mailing address
209 W WASHINGTON ST, SUITE B, WAUSAU, WI 54403-5475
(715) 845-3637
(715) 845-1977

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310776-031
WI

Other

Enumeration date
08/25/2010
Last updated
08/25/2010
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