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Individual

MS. PEGGY LOUISE ANTON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
215 E CLAY ST, #34, WHITEWATER, WI 53190-2076
(414) 687-1565
Mailing address
215 E CLAY ST, #34, WHITEWATER, WI 53190-2076
(414) 687-1565

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
56152-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38336200
WI
Enumeration date
05/19/2006
Last updated
07/08/2007
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