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Individual

GWYNNE C KANGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5415 OAK LEAF DR, LUXEMBURG, WI 54217-9114
(920) 866-9883
Mailing address
5415 OAK LEAF DR, LUXEMBURG, WI 54217-9114
(920) 866-9883

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308959-031
WI

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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