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Individual

SYNETTA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N MAIBEN ST, READSTOWN, WI 54652-7086
(608) 633-2622
Mailing address
PO BOX 253, READSTOWN, WI 54652-0253
(608) 633-2622

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305229-31
WI

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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