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Individual

MS. BARBARA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
651 S 63 ST, APT1, MILWAUKEE, WI 53214
(414) 763-3745
Mailing address
651 S 63RD ST APT 1, 651 S 63 ST APT1, MILWAUKEE, WI 53214-1858
(414) 763-3745

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30270-031
WI

Other

Enumeration date
03/18/2011
Last updated
03/18/2011
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