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Individual

KERRIE BORCHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9002 COUNTY ROAD G, MOUNT HOREB, WI 53572
(608) 832-6301
Mailing address
9002 COUNTY ROAD G, MOUNT HOREB, WI 53572-2912
(608) 832-6301

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311092-31
WI

Other

Enumeration date
02/05/2013
Last updated
02/05/2013
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