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Individual

CHARLENE A CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 SOUTH DRIVE, WINNEBAGO, WI 54985-5498
(920) 235-4910
Mailing address
W4561 CHAPPA RD, BERLIN, WI 54923-8734
(920) 290-4193

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10499
WI

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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