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Individual

MARY DAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
352 S BROWN AVE, PESHTIGO, WI 54157-1523
(920) 591-1510
Mailing address
352 S BROWN AVE, PESHTIGO, WI 54157-1523
(920) 591-1510

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
64020-030
WI

Other

Enumeration date
01/23/2015
Last updated
01/23/2015
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