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Individual

MS. KWAMESHA MONE' MILSAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2240 PRAIRIE AVE, BELOIT, WI 53511-2648
(608) 856-6737
Mailing address
2240 PRAIRIE AVE., BELOIT, WI 53511
(608) 361-7200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259536-30
WI
164W00000X
Licensed Practical Nurse
324967-31
WI

Other

Enumeration date
10/14/2020
Last updated
10/11/2022
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