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1215231725
PHUONG THI NGUYEN
WAUWATOSA, WI
NPI
1215231725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 1677015-30)
Enumeration Date
2010-12-28
Last Update Date
2010-12-28
Business Address
Mrs. PHUONG THI NGUYEN r.n.
8600 RAVENSWOOD CIR
WAUWATOSA, WI 53226-4658
Phone number: 414-258-2005
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Mailing Address
Mrs. PHUONG THI NGUYEN r.n.
8600 RAVENSWOOD CIR
WAUWATOSA, WI 53226-4658
Phone number: 414-258-2005
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