Individual
JILL SPARRGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1014 PINE ST APT 1, LA CROSSE, WI 54601-0813
(608) 397-0281
Mailing address
1014 PINE ST APT 1, LA CROSSE, WI 54601-0813
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315800-31
WI
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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