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Individual

VIRGINIA Y. SANCHEZ MORET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2300 STATE ROAD 44, OSHKOSH, WI 54904-9137
(920) 233-2372
Mailing address
1551 HONEYSUCKLE RD APT 5, HARTFORD, WI 53027-2660
(262) 670-6291

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2233-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2233-026
WI DEPT. OF REG.
WI
Enumeration date
12/20/2006
Last updated
07/08/2007
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