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Individual

MS. JACKIE HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
3726A N. 6TH STREET, MILWAUKEE, WI 53212
(414) 544-9586
Mailing address
3726A N. 6TH STREET, MILWAUKEE, WI 53212
(414) 544-9586

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302510-031
WI

Other

Enumeration date
04/28/2009
Last updated
04/28/2009
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