NICHOLAS JON GRIDER

MILWAUKEE, WI
NPI1306148820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  313012-31)
Enumeration Date2010-12-04
Last Update Date2010-12-04
Business Address
Mr. NICHOLAS JON GRIDER LPN
3113 N DOUSMAN ST
MILWAUKEE, WI 53212-2245
Phone number: 414-640-7656
Mailing Address
Mr. NICHOLAS JON GRIDER LPN
3113 N DOUSMAN ST
MILWAUKEE, WI 53212-2245
Phone number: 414-640-7656
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