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1114242773
CHRISTEENA WAVE RITA EVANS
SUN PRAIRIE, WI
NPI
1114242773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 304057-031)
Enumeration Date
2010-04-06
Last Update Date
2010-04-06
Business Address
-- CHRISTEENA WAVE RITA EVANS LPN
1135 LIBERTY BLVD
SUN PRAIRIE, WI 53590-4407
Phone number: 608-906-1668
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Mailing Address
-- CHRISTEENA WAVE RITA EVANS LPN
1135 LIBERTY BLVD
SUN PRAIRIE, WI 53590-4407
Phone number: 608-906-1668
Copy
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