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1851979843
SUSAN L MONTGOMERY
MADISON, WI
NPI
1851979843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 318435-31)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
SUSAN L MONTGOMERY LPN
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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Mailing Address
SUSAN L MONTGOMERY LPN
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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