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1407252000
LISA POLHAMUS
CHIPPEWA FALLS, WI
NPI
1407252000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 126846)
Enumeration Date
2014-11-08
Last Update Date
2014-11-08
Business Address
-- LISA POLHAMUS
6872 189TH ST
CHIPPEWA FALLS, WI 54729-6413
Phone number: 715-723-7602
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Mailing Address
-- LISA POLHAMUS
6872 189TH ST
CHIPPEWA FALLS, WI 54729-6413
Phone number: 715-723-7602
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