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Individual

ELLEN MAREN BRADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
126 W BAYFIELD ST STE 2, WASHBURN, WI 54891-1182
(715) 220-2630
Mailing address
PO BOX 92, WASHBURN, WI 54891-0092
(715) 220-2630

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
DKX-2P4
WI

Other

Enumeration date
04/17/2023
Last updated
04/17/2023
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