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Individual

MRS. BARBARA CAROL SIMONS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1835 BJORN DR, STOUGHTON, WI 53589
(608) 873-9529
Mailing address
6116 IMPERIAL DR, WAUNAKEE, WI 53597-8922
(608) 846-3074

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80905-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38260800
WI
Enumeration date
04/19/2006
Last updated
07/09/2007
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