KISA SUE SORG

SPRING GREEN, WI
NPI1164248449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  332331-31)
Enumeration Date2024-12-02
Last Update Date2024-12-11
Business Address
KISA SUE SORG
S10904 FAIRVIEW RD
SPRING GREEN, WI 53588-9738
Phone number: 608-415-1524
Mailing Address
KISA SUE SORG
S10904 FAIRVIEW RD
SPRING GREEN, WI 53588-9738
Phone number: 608-415-1524
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