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Individual

MRS. BONNIE LOU PEER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
24096 COUNTY HWY 2, RICHLAND CENTER, WI 53581
(608) 647-1173
Mailing address
408 E LEGRAND ST, BOSCOBEL, WI 53805
(608) 375-2933

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308622-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35065000
WI
Enumeration date
10/15/2008
Last updated
10/15/2008
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