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1518274968
AMY MARY SMITH
RACINE, WI
NPI
1518274968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 305029-031)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
Mrs. AMY MARY SMITH LPN
1615 GRANGE AVE
RACINE, WI 53405-3539
Phone number: 262-939-1356
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Mailing Address
Mrs. AMY MARY SMITH LPN
1615 GRANGE AVE
RACINE, WI 53405-3539
Phone number: 262-939-1356
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