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1568752319
LA TANYA LYNETTE KNOX
MILWAUKEE, WI
NPI
1568752319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 308221-031)
Enumeration Date
2011-04-13
Last Update Date
2011-04-13
Business Address
Miss LA TANYA LYNETTE KNOX LPN
2649 N 55TH ST
MILWAUKEE, WI 53210-2333
Phone number: 414-873-0137
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Mailing Address
Miss LA TANYA LYNETTE KNOX LPN
2649 N 55TH ST
MILWAUKEE, WI 53210-2333
Phone number: 414-873-0137
Copy
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