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Individual

MRS. BARBARA ROSE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5718 N 97TH ST, MILWAUKEE, WI 53225-2504
(414) 461-0736
Mailing address
5718 N 97 STREET, MILWAUKEE, WI 53225
(414) 461-0736

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33763-031
WI

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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