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1043505688
CHERYL DENISE LONG
MILWAUKEE, WI
NPI
1043505688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 30928931)
Enumeration Date
2011-06-11
Last Update Date
2011-06-11
Business Address
Ms. CHERYL DENISE LONG LPN
3646 N 15TH ST
MILWAUKEE, WI 53206-2303
Phone number: 414-364-6791
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Mailing Address
Ms. CHERYL DENISE LONG LPN
3646 N 15TH ST
MILWAUKEE, WI 53206-2303
Phone number: 414-364-6791
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