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1356562078
ANDREA CAROL-KRUG BALISTER
BROOKFIELD, WI
NPI
1356562078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 31018-031)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- ANDREA CAROL-KRUG BALISTER LPN
14640 WOODLAND PL
BROOKFIELD, WI 53005-1112
Phone number: 262-790-0933
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Mailing Address
-- ANDREA CAROL-KRUG BALISTER LPN
16660 DANE CT W
BROOKFIELD, WI 53005-1366
Phone number: 262-781-8646
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