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Organization

BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS

Active
Other names
Bad River Health and Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELYN BROWN R.N. (PNCC NURSE)
(715) 682-7133
Entity
Organization

Contact information

Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857
Mailing address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160502
WI

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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