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1649444738
PETER CHARLES LAVAQUE
GREEN BAY, WI
NPI
1649444738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 154962-030)
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
Mr. PETER CHARLES LAVAQUE RN
2627 BAY SETTLEMENT RD
GREEN BAY, WI 54311-7328
Phone number: 920-227-7295
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Mailing Address
Mr. PETER CHARLES LAVAQUE RN
2627 BAY SETTLEMENT RD
GREEN BAY, WI 54311-7328
Phone number: 920-227-7295
Copy
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