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1568766046
TAISHA A LEWIS
SOUTH MILWAUKEE, WI
NPI
1568766046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 307107-031)
Enumeration Date
2010-12-27
Last Update Date
2010-12-27
Business Address
Mrs. TAISHA A LEWIS LPN
720 SYCAMORE AVE
SOUTH MILWAUKEE, WI 53172-1338
Phone number: 262-385-9457
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Mailing Address
Mrs. TAISHA A LEWIS LPN
PO BOX 18733
MILWAUKEE, WI 53218-0733
Phone number: 262-385-9457
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