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1689956229
ANNA MARIE BORT
RACINE, WI
NPI
1689956229
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Former Name
ANNA MARIE PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 304505-31)
Enumeration Date
2011-09-09
Last Update Date
2011-09-09
Business Address
Mrs. ANNA MARIE BORT LPN
2031 CHARLES ST
RACINE, WI 53402-4609
Phone number: 262-637-5302
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Mailing Address
Mrs. ANNA MARIE BORT LPN
2031 CHARLES ST
RACINE, WI 53402-4609
Phone number: 262-637-5302
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