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Individual

GERALDINE ILENE LINDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3107 67TH DR, UNION GROVE, WI 53182-9445
(262) 878-3727
Mailing address
2316 DE KOVEN AVE, RACINE, WI 53403-2404
(262) 637-8841

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32387-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164W00000X
WI
Enumeration date
05/30/2007
Last updated
07/09/2007
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