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Individual

MRS. DEBORAH LEAH RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6580 S 46TH ST, FRANKLIN, WI 53132-8153
(414) 421-0276
Mailing address
3065 CALEDONIA ST, RACINE, WI 53402-3901
(860) 617-9882

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
113084-30
WI
163WM0705X
Medical-Surgical Registered Nurse
113084-30
WI

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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