ELAINE MARIE BLANK

RACINE, WI
NPI1720057243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  17951-031)
Enumeration Date2006-03-16
Last Update Date2007-07-08
Business Address
MRS. ELAINE MARIE BLANK LPN
7410 BOTTING RD
RACINE, WI 53402-9742
Phone number: 126-268-1303
Mailing Address
MRS. ELAINE MARIE BLANK LPN
7410 BOTTING RD
RACINE, WI 53402-9742
Phone number: 126-268-1303
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