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1386887248
FATIMA F JALLOW
RACINE, WI
NPI
1386887248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 310590-31)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
FATIMA F JALLOW LPN
2513 N MAIN ST
RACINE, WI 53402-4417
Phone number: 262-681-1464
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Mailing Address
FATIMA F JALLOW LPN
2513 N MAIN ST
RACINE, WI 53402-4417
Phone number: 262-681-1464
Copy
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