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Individual

ARDEN CEDAR KINDRED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
1738 BRACKETT AVE, EAU CLAIRE, WI 54701
(715) 201-4720
Mailing address
1738 BRACKETT AVE, EAU CLAIRE, WI 54701
(715) 201-4720

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
263
WI
176B00000X
Midwife
Primary
263-49
WI

Other

Enumeration date
05/04/2019
Last updated
01/22/2020
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