Individual
MRS. AGNES E DEEHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(188) 846-9661
(920) 693-5604
Mailing address
336 E JEFFERSON AVE, CLEVELAND, WI 53015-1530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8882-031
WI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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