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MRS. HEIDI MARIE PESTOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
N8573 STATE HWY 104, EVANSVILLE, WI 53536-9607
(608) 658-9559
Mailing address
N8573 STATE HWY 104, EVANSVILLE, WI 53536-9607
(608) 658-9559

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
33216-031
WI

Other

Enumeration date
06/24/2009
Last updated
06/24/2009
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