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Individual

MS. TINA MARIE CRONN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
413 S YELLOWSTONE DR, MADISON, WI 53719-1042
(608) 277-1010
Mailing address
413 S YELLOWSTONE DR, MADISON, WI 53719-1042
(608) 277-1010

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319153
WI

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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