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1306080551
MARY KATHLEEN BORNICK
FORT ATKINSON, WI
NPI
1306080551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 13474-031)
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
Mrs. MARY KATHLEEN BORNICK License Practical Nu
W. 6143 N. THORNAPPLE COURT
FORT ATKINSON, WI 53538
Phone number: 920-563-2359
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Mailing Address
Mrs. MARY KATHLEEN BORNICK License Practical Nu
W. 6143 N. THORNAPPLE COURT
FORT ATKINSON, WI 53538
Phone number: 920-563-2359
Copy
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