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Individual

DAWN OGILVIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
604 E FOSTER AVE APT 1, LUCK, WI 54853-9010
(715) 768-5321
Mailing address
604 E FOSTER AVE APT 1, LUCK, WI 54853-9010
(715) 768-5321

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310854
WI
164W00000X
Licensed Practical Nurse
L-079866-8
MN

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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