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1093275216
JENNA LEE FUNK
APPLETON, WI
NPI
1093275216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 320377)
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
JENNA LEE FUNK LPN
1201 S LEE ST
APPLETON, WI 54915-3723
Phone number: 920-858-3302
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Mailing Address
JENNA LEE FUNK LPN
803 W BROWNING ST
APPLETON, WI 54914-2155
Phone number: 920-903-2274
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