CAROLYN LOUISE LATHAN

KENOSHA, WI
NPI1558483727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  21256031)
Enumeration Date2007-04-06
Last Update Date2007-07-08
Business Address
Ms. CAROLYN LOUISE LATHAN LPN
7020 36TH AVE
KENOSHA, WI 53142-3947
Phone number: 262-652-1001
Mailing Address
Ms. CAROLYN LOUISE LATHAN LPN
7020 36TH AVE
KENOSHA, WI 53142-3947
Phone number: 262-652-1001
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