TAMMY LEE CLARKJORGENSEN

WATERTOWN, WI
NPI1013246321
Former NameTAMMY L CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  34047-031)
Enumeration Date2009-12-15
Last Update Date2009-12-15
Business Address
-- TAMMY LEE CLARKJORGENSEN lpn
912 CLEVELAND ST
WATERTOWN, WI 53098-2925
Phone number: 920-723-4124
Mailing Address
-- TAMMY LEE CLARKJORGENSEN lpn
912 CLEVELAND ST
WATERTOWN, WI 53098-2925
Phone number: 920-723-4124
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