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1720251838
VICTORIA L CORNELIUS
GREEN BAY, WI
NPI
1720251838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: WI 0588019)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
-- VICTORIA L CORNELIUS
2751 N PACKERLAND DR #103
GREEN BAY, WI 54303-4855
Phone number: 920-496-9977
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Mailing Address
-- VICTORIA L CORNELIUS
2751 N PACKERLAND DR #103
GREEN BAY, WI 54303-4855
Phone number: 920-496-9977
Copy
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