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Individual

JESSE C ALBRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8412
Mailing address
4801 SHEBOYGAN AVE APT 404, MADISON, WI 53705-3015
(815) 342-2428

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4801
ADDRESS
Enumeration date
07/15/2013
Last updated
07/15/2013
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