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Individual

EMILIE BENISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
362 CRESTVIEW DR, WATERLOO, WI 53594-1011
(608) 577-2647
Mailing address
362 CRESTVIEW DR, WATERLOO, WI 53594-1011
(608) 577-2647

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317224-31
WI

Other

Enumeration date
07/23/2015
Last updated
07/23/2015
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