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Individual

MR. DAWN MARIE ST. CLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
118 N CIRCLE DRIVE, BUFFALO CITY, WI 54622
(608) 248-3034
Mailing address
W7918 PRAIRIE WOODS ST., HOLMEN, WI 54636
(608) 790-3525

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23824-031
WI

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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