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1083984819
TIA M KIRKSEY
MILWAUKEE, WI
NPI
1083984819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 312085-031)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
Miss TIA M KIRKSEY
4073 N 51ST BLVD
MILWAUKEE, WI 53216-1374
Phone number: 414-610-3439
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Mailing Address
Miss TIA M KIRKSEY
4073 N 51ST BLVD
MILWAUKEE, WI 53216-1374
Phone number:
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