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Individual

MRS. DAWN MARIE LARKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395
Mailing address
814 PARK AVE, SOUTH MILWAUKEE, WI 53172-1330
(414) 426-1748

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
148321-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225088586
CLINIC
WI
Enumeration date
05/10/2006
Last updated
03/01/2018
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