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Individual

MRS. MARY KAY SMOKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5217 CAMDEN RD, MADISON, WI 53716-2809
(608) 223-6521
Mailing address
5217 CAMDEN RD, MADISON, WI 53716-2809
(608) 223-6521

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310624031
WI

Other

Enumeration date
03/11/2010
Last updated
03/22/2011
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