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Individual

CODY SKABROUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1408 11TH ST, EAU CLAIRE, WI 54703-5047
(715) 314-0656
Mailing address
1408 11TH ST, EAU CLAIRE, WI 54703-5047
(715) 314-0656

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
WI

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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