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Individual

MS. AUDREY MARIE GUARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
30247

Contact information

Practice address
2020 W ATKINSON AVE, MILWAUKEE, WI 53209-6872
(414) 544-8104
Mailing address
2020 W ATKINSON AVE, MILWAUKEE, WI 53209-6872
(414) 544-8104

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30247
WI

Other

Enumeration date
07/10/2013
Last updated
07/10/2013
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