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Individual

MARY PUFAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2061OLEARY RD, NEENAH, WI 54956
(920) 722-1025
Mailing address
2061OLEARY RD, NEENAH, WI 54956

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26788031
WI

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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