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1245540368
DAVID NEAL INNIS
JANESVILLE, WI
NPI
1245540368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 307611-31)
Enumeration Date
2010-10-08
Last Update Date
2010-10-08
Business Address
-- DAVID NEAL INNIS LPN, LICSW
320 PARK AVE
JANESVILLE, WI 53548-4620
Phone number: 608-359-3357
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Mailing Address
-- DAVID NEAL INNIS LPN, LICSW
320 PARK AVE
JNAESVILLE, WI 53548
Phone number: 608-359-3357
Copy
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