Individual
MARY J RUPNOW CHARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 BLUE BIRD RDG, WATERTOWN, WI 53098-7701
(920) 261-7376
Mailing address
30 BLUE BIRD RDG, WATERTOWN, WI 53098-7701
(920) 261-7376
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
14949230
WI
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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