Individual
CORINNE LEAH BOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4408 SUNNY SLOPE RD, EGG HARBOR, WI 54209-9211
(920) 746-0538
Mailing address
2190 GARDEN GROVE LN, GREEN BAY, WI 54311-8700
(920) 264-6390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311119-31
WI
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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