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Individual

MR. JEFFREY L BELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2828 N 46TH ST, MILWAUKEE, WI 53210-1750
(414) 460-4931
Mailing address
2828 N 46TH ST, MILWAUKEE, WI 53210-1750
(414) 460-4931

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305431-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350708000
WI
Enumeration date
04/30/2009
Last updated
04/30/2009
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