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Individual

JACQUELINE K DAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226-4874
(414) 337-7140
(414) 337-7145
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226-4874
(414) 337-7140
(414) 337-7145

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
82180
WI

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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