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Individual

MRS. WENDY MARIE KIRST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
2639 NORTH 9TH STREET, SHEBOYGAN, WI 53083
(920) 946-7323
Mailing address
2639 NORTH 9TH STREET, SHEBOYGAN, WI 53083
(920) 946-7323

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313477-31
WI

Other

Enumeration date
02/21/2012
Last updated
02/21/2012
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