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Individual

ABBIE VERENE BODENBENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1591 PARTRIDGE HILL DR, OREGON, WI 53575-2567
(608) 485-1726
Mailing address
15905 WISCONSIN VALLEY RD, BOSCOBEL, WI 53805-9119
(608) 391-0146

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321824
WI

Other

Enumeration date
05/18/2020
Last updated
05/18/2020
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