PETER CHARLES LAVAQUE

GREEN BAY, WI
NPI1649444738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  154962-030)
Enumeration Date2008-04-18
Last Update Date2008-04-18
Business Address
Mr. PETER CHARLES LAVAQUE RN
2627 BAY SETTLEMENT RD
GREEN BAY, WI 54311-7328
Phone number: 920-227-7295
Mailing Address
Mr. PETER CHARLES LAVAQUE RN
2627 BAY SETTLEMENT RD
GREEN BAY, WI 54311-7328
Phone number: 920-227-7295
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