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Individual

LAURA SEWALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1150 SPRINGHURST DR, SUITE #206, GREEN BAY, WI 54304-5950
(920) 497-0985
Mailing address
207 HIDDEN RIDGES WAY, COMBINED LOCKS, WI 54113-1300
(920) 716-4700

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16441-040
WI

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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