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1205184553
LISA ANNETTE ANDERSON
WAUKESHA, WI
NPI
1205184553
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Former Name
LISA ANNETTE EBERSOLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 312381-31)
Enumeration Date
2012-08-16
Last Update Date
2013-08-27
Business Address
Mrs. LISA ANNETTE ANDERSON LPN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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Mailing Address
Mrs. LISA ANNETTE ANDERSON LPN
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
Copy
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