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Individual

JULIE ANNE DEARMITT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1608 HILLSIDE RD, CAMBRIDGE, WI 53523-9603
(608) 423-3489
Mailing address
717 W RACINE ST, JANESVILLE, WI 53548-5151
(608) 758-0604

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3960670770
WI
Enumeration date
03/23/2006
Last updated
07/08/2007
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