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Individual

ROBERTA J. TYBORSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
919 ALABAMA PL APT 9, STURGEON BAY, WI 54235-1169
(920) 559-2009
Mailing address
919 ALABAMA PL APT 9, STURGEON BAY, WI 54235-1169
(920) 559-2009

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314609-31
WI

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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