AUTUMN LEIGH ANN PLACEK

DE PERE, WI
NPI1134595572
Former NameAUTUMN FRASER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  218468)
Enumeration Date2015-08-20
Last Update Date2015-08-20
Business Address
-- AUTUMN LEIGH ANN PLACEK Rn
1141 STEVENS ST
DE PERE, WI 54115-1611
Phone number: 920-671-4868
Mailing Address
-- AUTUMN LEIGH ANN PLACEK Rn
1141 STEVENS ST
DE PERE, WI 54115-1611
Phone number: 920-671-4868
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