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1639418692
KATHLEEN ANN FANDRE
WAUSAU, WI
NPI
1639418692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 315712-31)
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
-- KATHLEEN ANN FANDRE LPN
209 W WASHINGTON ST SUITE B
WAUSAU, WI 54403-5475
Phone number: 715-845-3637
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Mailing Address
-- KATHLEEN ANN FANDRE LPN
209 W WASHINGTON ST SUITE B
WAUSAU, WI 54403-5475
Phone number: 715-845-3637
Copy
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