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Individual

ZANDY MOES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-BSN

Contact information

Practice address
502 FIELD CREST LANE, BLACK CREEK, WI 54106
(920) 841-0213
Mailing address
PO BOX 281, BLACK CREEK, WI 54106-0281
(920) 841-0213

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
116452
WI

Other

Enumeration date
09/24/2014
Last updated
09/24/2014
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