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1255843397
MAIKENG HER
WEST ALLIS, WI
NPI
1255843397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 8101)
Enumeration Date
2017-10-30
Last Update Date
2023-11-14
Business Address
MAIKENG HER APNP
6609 W GREENFIELD AVE
WEST ALLIS, WI 53214-4958
Phone number: 414-257-8577
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Mailing Address
MAIKENG HER APNP
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number:
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