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Harly Prentice

NPI 1801451075 · on the registry since 2019

Practice

Address
5911 E Pleasant Ave
South Range, WI 54874
Phone
(404) 807-5472

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin