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Individual

JULIE DIETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
239 ELM ST, LA CROSSE, WI 54603-1492
(608) 797-0553
Mailing address
239 ELM ST, LA CROSSE, WI 54603-1492
(608) 797-0553

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85969-30
WI

Other

Enumeration date
01/12/2014
Last updated
01/12/2014
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