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Individual

MRS. LOUISE A BORST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH CGP

Contact information

Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-5680
(262) 948-5681
Mailing address
12039 231ST AVE, TREVOR, WI 53179-9439
(262) 862-2998

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12571-040
WI

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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