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Individual

MRS. ANDREA KAY JAEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Mailing address
2422 N GRANDVIEW BLVD, WAUKESHA, WI 53188-6105
(262) 549-6600

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
109026-30
IL

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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