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Individual

MEGAN DEKEYSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9729 SCHOOL RD, BRUSSELS, WI 54204-9502
(920) 495-1332
Mailing address
9729 SCHOOL RD, BRUSSELS, WI 54204-9502
(920) 495-1332

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320733
WI

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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