Individual
MS. GLORIA JEAN KOEPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1216 LONGFELLOW AVE, HOWARDS GROVE, WI 53083-1352
(920) 565-2553
Mailing address
1216 LONGFELLOW AVE, HOWARDS GROVE, WI 53083-1352
(920) 565-2553
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14934-31
WI
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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