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Individual

MRS. BRENDA JEAN ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2907 E. LEONA DRIVE, BELOIT, WI 53511
(608) 931-6105
Mailing address
2907 E. LEONA DRIVE, BELOIT, WI 53511
(608) 931-6105

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200687
WI

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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