Individual
CLAYTIN SABOURIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6920 N ARDARA AVE, GLENDALE, WI 53209-2911
(608) 381-1308
Mailing address
6920 N ARDARA AVE, GLENDALE, WI 53209-2911
(608) 381-1308
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178192
WI
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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