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1194134130
CORINE BAUMSTARK
RACINE, WI
NPI
1194134130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 301697)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- CORINE BAUMSTARK
1903 ENGLISH ST
RACINE, WI 53404-2360
Phone number: 262-995-5629
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Mailing Address
-- CORINE BAUMSTARK
1903 ENGLISH ST
RACINE, WI 53404-2360
Phone number: 262-995-5629
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