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Individual

JENNIFER LYNN BRUBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 264-0390
Mailing address
3719 LIMESTONE CT, SHEBOYGAN, WI 53083-2666
(920) 254-1775

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
322232-31
WI

Other

Enumeration date
11/29/2017
Last updated
01/08/2018
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