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Individual

JENNIFER ANNE BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23820 LONG LAKE RD, SIREN, WI 54872-9273
(715) 349-8830
Mailing address
23820 LONG LAKE RD, SIREN, WI 54872-9273
(715) 349-8830

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128992-030
WI

Other

Enumeration date
09/11/2008
Last updated
10/21/2008
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