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Individual

LAKEN NICHOLE BEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4670 WOODFIELD CT APT 3, NASHOTAH, WI 53058-9309
(803) 543-3510
Mailing address
4670 WOODFIELD CT APT 3, NASHOTAH, WI 53058-9309

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
WI

Other

Enumeration date
10/27/2018
Last updated
10/27/2018
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