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1346623154
KELLY L GREENE
WAUSAU, WI
NPI
1346623154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 158331)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- KELLY L GREENE RN
1901 E WAUSAU AVE
WAUSAU, WI 54403-3158
Phone number: 715-432-8133
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Mailing Address
-- KELLY L GREENE RN
PO BOX 621
WAUSAU, WI 54402-0621
Phone number: 715-432-8133
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