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1699088856
BRIDGETTE N VIRGIL-TRAVIS
MILWAUKEE, WI
NPI
1699088856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 306935-031)
Enumeration Date
2010-07-16
Last Update Date
2010-09-20
Business Address
-- BRIDGETTE N VIRGIL-TRAVIS LPN
5043 N 19TH ST
MILWAUKEE, WI 53209-3802
Phone number: 414-793-7802
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Mailing Address
-- BRIDGETTE N VIRGIL-TRAVIS LPN
5043 N 19TH ST
MILWAUKEE, WI 53209-5762
Phone number: 414-793-7802
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