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Individual

SARAH ELIZABETH RUTH MILBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
748 N MAYFLOWER DR APT 11, APPLETON, WI 54913-8419
(920) 637-4096
Mailing address
748 N MAYFLOWER DR APT 11, APPLETON, WI 54913-8419
(920) 637-4096

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32465931
WI

Other

Enumeration date
02/03/2021
Last updated
02/03/2021
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