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Individual

MRS. OPAL SUE BELCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3312 PRAIRIE RD, MADISON, WI 53719-1551
(414) 839-9833
Mailing address
3312 PRAIRIE RD, MADISON, WI 53719-1551
(414) 839-9833

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307821-031
WI

Other

Enumeration date
03/20/2009
Last updated
03/20/2009
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