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1710119151
LAKE VIEW ADULT FAMILY HOME
PEWAUKEE, WI
NPI
1710119151
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Entity Type
Organization
Authorized Contact
DOUANGMALA PHRASAVATH
Registered Nurse
414-379-9713
Organization Subpart ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2009-08-19
Last Update Date
2009-08-19
Business Address
LAKE VIEW ADULT FAMILY HOME
W278N2456 PROSPECT AVE
PEWAUKEE, WI 53072-5220
Phone number: 414-379-9713
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Mailing Address
LAKE VIEW ADULT FAMILY HOME
W278N2456 PROSPECT AVE
PEWAUKEE, WI 53072-5220
Phone number: 414-379-9713
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