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1003262742
THERESA FALLER
MILWAUKEE, WI
NPI
1003262742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 301751-31)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- THERESA FALLER
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
-- THERESA FALLER
5956 S KINGAN AVE APT 8
CUDAHY, WI 53110-3448
Phone number:
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