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1649580416
JAMAE SANDRA WIERZBA
MARSHALL, WI
NPI
1649580416
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Former Name
JAMAE SANDRA GJERMO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 312346-031)
Enumeration Date
2010-10-14
Last Update Date
2010-10-14
Business Address
JAMAE SANDRA WIERZBA LPN
279 COUNTY ROAD BB
MARSHALL, WI 53559-9685
Phone number: 608-333-1363
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Mailing Address
JAMAE SANDRA WIERZBA LPN
279 COUNTY ROAD BB
MARSHALL, WI 53559-9685
Phone number: 608-333-1363
Copy
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