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Individual

MARILYN JEAN CUDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3181 CONSERVANCY ESTATES LN, SUN PRAIRIE, WI 53590-9249
(608) 837-7219
Mailing address
7610 MIDTOWN RD, APT 112, MADISON, WI 53719-3449
(608) 574-3599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117824-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39880900
WI
Enumeration date
05/29/2008
Last updated
05/29/2008
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