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1023316767
TINA MARIE STEFANIAK
NEW BERLIN, WI
NPI
1023316767
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Former Name
TINA MARIE DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 306931-31)
Enumeration Date
2011-03-04
Last Update Date
2011-03-04
Business Address
Mrs. TINA MARIE STEFANIAK L.P.N. #306931-31
2935 S. 127TH STREET
NEW BERLIN, WI 53151-4025
Phone number: 262-497-6813
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Mailing Address
Mrs. TINA MARIE STEFANIAK L.P.N. #306931-31
4530 CHARLES STREET
RACINE, WI 53402-2760
Phone number: 262-497-6813
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