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1245937382
KENYATTA BRIGCHELLE VACCARO
MADISON, WI
NPI
1245937382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 311553-31)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
KENYATTA BRIGCHELLE VACCARO
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
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Mailing Address
KENYATTA BRIGCHELLE VACCARO
1517 TRAILSWAY APT 3
MADISON, WI 53704-2934
Phone number: 608-516-8696
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