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Individual

MRS. SUSAN CARROLL URBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4432 STATE ROAD 138, OREGON, WI 53575-2916
(608) 835-0191
Mailing address
4432 STATE ROAD 138, OREGON, WI 53575-2916
(608) 835-0191

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
WI

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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