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1447367990
GEORGETTE LONG
OSHKOSH, WI
NPI
1447367990
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Doing Business As
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 67624-030)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
Ms. GEORGETTE LONG RN
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Phone number: 920-303-8700
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Mailing Address
Ms. GEORGETTE LONG RN
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-647-6326
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