MARY KATHLEEN BORNICK

FORT ATKINSON, WI
NPI1306080551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  13474-031)
Enumeration Date2009-04-30
Last Update Date2009-04-30
Business Address
Mrs. MARY KATHLEEN BORNICK License Practical Nu
W. 6143 N. THORNAPPLE COURT
FORT ATKINSON, WI 53538
Phone number: 920-563-2359
Mailing Address
Mrs. MARY KATHLEEN BORNICK License Practical Nu
W. 6143 N. THORNAPPLE COURT
FORT ATKINSON, WI 53538
Phone number: 920-563-2359