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1720559073
CHRISTINA PETRA MATIAS
KENOSHA, WI
NPI
1720559073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 222847)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
CHRISTINA PETRA MATIAS
7645 10TH AVE
KENOSHA, WI 53143-6044
Phone number: 847-401-8609
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Mailing Address
CHRISTINA PETRA MATIAS
7645 10TH AVE
KENOSHA, WI 53143-6044
Phone number: 847-401-8609
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