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1063511061
TINA LORENE SWANKE
BERLIN, WI
NPI
1063511061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WI 729-026)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- TINA LORENE SWANKE OTR
147 N STATE ST
BERLIN, WI 54923-1621
Phone number: 920-361-3515
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Mailing Address
-- TINA LORENE SWANKE OTR
N6681 COUNTY RD N
PRINCETON, WI 54968-9323
Phone number: 920-229-0955
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