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Individual

REBECCA L CHRISTIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
184 COUNTY ROAD TV, WATERLOO, WI 53594-9503
(608) 512-7557
Mailing address
184 COUNTY ROAD TV, WATERLOO, WI 53594-9503
(608) 512-7557

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30171431
WI

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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