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1710205646
DOUANGMALA PHRASAVATH
MILWAUKEE, WI
NPI
1710205646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 131600-30)
Enumeration Date
2010-05-17
Last Update Date
2010-05-17
Business Address
-- DOUANGMALA PHRASAVATH
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
-- DOUANGMALA PHRASAVATH
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
Copy
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