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1043623192
EDITH JOYCE MOTT
WAUSAU, WI
NPI
1043623192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 315716-31)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
Ms. EDITH JOYCE MOTT LPN
803 AUGUSTA AVE
WAUSAU, WI 54403-3336
Phone number: 715-581-3342
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Mailing Address
Ms. EDITH JOYCE MOTT LPN
803 AUGUSTA AVE
WAUSAU, WI 54403-3336
Phone number: 715-581-3342
Copy
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