Individual
MS. MARY L GILBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2117 COLONY CT APT B, BELOIT, WI 53511-1897
(608) 362-3381
Mailing address
2117 COLONY CT APT B, BELOIT, WI 53511-1897
(608) 362-3381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302567-031
WI
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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