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Individual

KASSANDRA BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
N3588 COUNTY ROAD J, ROCKLAND, WI 54653-9535
(608) 792-5855
(608) 486-2916
Mailing address
N3588 COUNTY ROAD J, ROCKLAND, WI 54653-9535
(608) 792-5855
(608) 486-2916

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311917-031
WI

Other

Enumeration date
01/19/2010
Last updated
01/19/2010
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