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1326637042
LATRICE SHEMON WALLACE
MILWAUKEE, WI
NPI
1326637042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 257195)
Enumeration Date
2021-01-16
Last Update Date
2021-01-16
Business Address
LATRICE SHEMON WALLACE RN
7009 N 43RD ST # 7A
MILWAUKEE, WI 53209-2263
Phone number: 414-574-8984
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Mailing Address
LATRICE SHEMON WALLACE RN
7009 N 43RD ST # 7A
MILWAUKEE, WI 53209-2263
Phone number: 414-574-8984
Copy
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