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1114255494
TENISHA DANIELLE MAXEY
MILWAUKEE, WI
NPI
1114255494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WV 309799-031)
Enumeration Date
2009-11-25
Last Update Date
2009-11-25
Business Address
Miss TENISHA DANIELLE MAXEY
5296 N. 73RD ST.
MILWAUKEE, WI 53218
Phone number: 414-234-0619
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Mailing Address
Miss TENISHA DANIELLE MAXEY
5296 N 73RD ST
MILWAUKEE, WI 53218-2821
Phone number: 414-234-0619
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