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1043554926
DELNA LEE CLARK
MILWAUKEE, WI
NPI
1043554926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 24277-31)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
Mrs. DELNA LEE CLARK LPN
2404 W HOPE AVE
MILWAUKEE, WI 53209-6629
Phone number: 414-732-0092
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Mailing Address
Mrs. DELNA LEE CLARK LPN
2404 W HOPE AVE
MILWAUKEE, WI 53209-6629
Phone number: 414-732-0092
Copy
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