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Individual

CONNIE JO DELONGCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3301 N BALLARD RD, SUITE B, APPLETON, WI 54911-8980
(920) 733-4443
(920) 733-4796
Mailing address
3301 N BALLARD RD, SUITE B, APPLETON, WI 54911-8928
(920) 733-4443
(920) 733-4796

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319760
WI

Other

Enumeration date
09/30/2015
Last updated
09/30/2015
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