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1114088648
SHIRLEY PETERSON
WAUKESHA, WI
NPI
1114088648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- SHIRLEY PETERSON BS
500 RIVERVIEW AVE
WAUKESHA, WI 53188-3632
Phone number: 262-548-7701
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Mailing Address
-- SHIRLEY PETERSON BS
500 RIVERVIEW AVE
WAUKESHA, WI 53188-3632
Phone number: 262-548-7701
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