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1194068148
DESIREE JEAN MANCL
MADISON, WI
NPI
1194068148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 191530-30)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- DESIREE JEAN MANCL RN
1110 WILLIAMSON ST APT 1
MADISON, WI 53703-4667
Phone number: 715-252-5448
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Mailing Address
-- DESIREE JEAN MANCL RN
285 N THOMPSON DR
MADISON, WI 53714-2069
Phone number: 715-252-5448
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