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Individual

MS. KRISTIN K BORGEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S., CCC-A

Contact information

Practice address
1520 N MEADE ST, APPLETON, WI 54911-3762
(920) 734-7181
(920) 734-0621
Mailing address
N1457 WESTGREEN DR, GREENVILLE, WI 54942-9661
(920) 757-5972

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
289156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41132000
WI
Enumeration date
08/16/2005
Last updated
07/08/2007
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