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Individual

MRS. LINDA RATKOVEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
21437 NORTHCAPE ST, UNION GROVE, WI 53182-9691
(262) 880-0851
(262) 514-3865
Mailing address
21437 NORTHCAPE ST, UNION GROVE, WI 53182-9691
(262) 880-0851
(262) 514-3865

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314491-31
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
314491-31
LPN LICENSE
WI
Enumeration date
09/05/2016
Last updated
09/05/2016
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