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Individual

JESSICA LEIGH MOSUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2810 15TH ST, MENOMINEE, MI 49858-1850
(715) 587-3388
Mailing address
2810 15TH ST, MENOMINEE, MI 49858-1850
(715) 587-3388

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307422-031
WI

Other

Enumeration date
08/13/2013
Last updated
11/27/2014
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