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Individual

MRS. MARIAN V. CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
1675 SEMINOLE TRL, SAINT GERMAIN, WI 54558-9032
(715) 542-4461
Mailing address
W8164 STATE HIGHWAY 47, ANTIGO, WI 54409-9042
(715) 219-3211

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22788
WI

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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