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Individual

BOBBIE MCMAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1120 RIDGE AVE, LANCASTER, WI 53813-2123
(608) 732-0538
Mailing address
1120 RIDGE AVE, LANCASTER, WI 53813-2123
(608) 732-0538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
178755-30
WI

Other

Enumeration date
10/27/2016
Last updated
10/27/2016
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