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1013934827
LEILANE U STA ROMANA
KENOSHA, WI
NPI
1013934827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 32522)
Enumeration Date
2006-07-16
Last Update Date
2012-06-13
Business Address
-- LEILANE U STA ROMANA MD
6127 GREEN BAY RD #200
KENOSHA, WI 53142-2929
Phone number: 262-658-3706
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Mailing Address
-- LEILANE U STA ROMANA MD
6127 GREEN BAY RD #200
KENOSHA, WI 53142-2929
Phone number: 262-658-3706
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