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Individual

LACEY BRIANNE COHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 BRAXTON PLACE, MADISON, WI 53715
(608) 260-2700
Mailing address
801 BRAXTON PL, MADISON, WI 53715-1415
(608) 260-2700
(608) 260-2700

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
WI034194901168
WI

Other

Enumeration date
03/20/2023
Last updated
03/20/2023
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