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1417900044
PHYLLIS FARBER
SUN PRAIRIE, WI
NPI
1417900044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 6453031)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
-- PHYLLIS FARBER LPN
3181 CONSERVANCY ESTATES LN
SUN PRAIRIE, WI 53590-9249
Phone number: 608-837-7219
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Mailing Address
-- PHYLLIS FARBER LPN
1409 NEVADA RD
MADISON, WI 53704-1856
Phone number: 608-249-5716
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