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Individual

KARLA K TEETZEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
N6335 COLONIAL DR, FOND DU LAC, WI 54937-7383
(262) 339-2789
Mailing address
N6335 COLONIAL DR, FOND DU LAC, WI 54937-7383
(262) 339-2789

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302965-31
WI

Other

Enumeration date
09/01/2017
Last updated
07/21/2022
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