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Individual

MICHELE EXWORTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
237 GALE ST APT 11, OCONTO, WI 54153-1094
(920) 672-9001
Mailing address
237 GALE ST APT 11, OCONTO, WI 54153-1094
(920) 672-9001

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0119014-30
WI

Other

Enumeration date
02/27/2015
Last updated
02/27/2015
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