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1003059353
MARY GRACE HERNANDEZ LASQUETY
MILWAUKEE, WI
NPI
1003059353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 56635)
Enumeration Date
2009-04-16
Last Update Date
2015-08-20
Business Address
Dr. MARY GRACE HERNANDEZ LASQUETY M.D.
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-319-3000
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Mailing Address
Dr. MARY GRACE HERNANDEZ LASQUETY M.D.
4425 N PORT WASHINGTON RD
GLENDALE, WI 53212-1082
Phone number: 414-319-3000
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