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1578076162
SHELLIE GERMAINE BERG
GREEN BAY, WI
NPI
1578076162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 321622-31)
Enumeration Date
2017-11-06
Last Update Date
2017-11-06
Business Address
SHELLIE GERMAINE BERG LPN
970 LAKE ST
GREEN BAY, WI 54303-1866
Phone number: 920-265-4080
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Mailing Address
SHELLIE GERMAINE BERG LPN
970 LAKE ST
GREEN BAY, WI 54303-1866
Phone number:
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