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1639623002
KATRINA LASHELL GRAY
MILWAUKEE, WI
NPI
1639623002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI 227113-30)
Enumeration Date
2016-08-15
Last Update Date
2016-08-15
Business Address
-- KATRINA LASHELL GRAY
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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Mailing Address
-- KATRINA LASHELL GRAY
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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