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Individual

PATTIE YETS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
W186S9611 PARKER DR, MUSKEGO, WI 53150-8433
(262) 617-4598
Mailing address
W186S9611 PARKER DR, MUSKEGO, WI 53150-8433

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26684031
WI

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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