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Individual

BRIDGETT LYNN WILDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2242 N 17TH ST, MILWAUKEE, WI 53205-1220
(414) 399-8031
Mailing address
PO BOX 12279, MILWAUKEE, WI 53212-0279
(414) 399-8031

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
07/01/2020
Last updated
07/01/2020
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