Individual
MS. CLARA DUGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 W MANOR CIR, BAYSIDE, WI 53217-1730
(414) 351-4048
Mailing address
320 W MANOR CIR, BAYSIDE, WI 53217-1730
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
84775-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39850800
—
WI
Enumeration date
04/18/2006
Last updated
07/09/2007
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