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1174878128
DEDRA TAREE NELSON
RACINE, WI
NPI
1174878128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
-- DEDRA TAREE NELSON Home Health
2808 15TH ST
RACINE, WI 53405-5013
Phone number: 262-721-8567
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Mailing Address
-- DEDRA TAREE NELSON Home Health
2808 15TH ST
RACINE, WI 53405-5013
Phone number: 262-721-8567
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