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Individual

MELISSA ANN SORENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
114 DOUGHERTY CT, RIDGEWAY, WI 53582-9722
(608) 341-6331
Mailing address
114 DOUGHERTY CT, RIDGEWAY, WI 53582-9722
(608) 341-6331

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30207631
WI

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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