Individual
MS. DOROTHY R GAMBLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2832 N 58TH ST, MILWAUKEE, WI 53210-1541
(414) 873-0141
Mailing address
2832 N 58TH ST, MILWAUKEE, WI 53210-1541
(414) 873-0141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32386-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39971800
—
WI
Enumeration date
03/16/2006
Last updated
07/09/2007
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