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1720713753
SHAUNA LEE KOFOED
MANITOWOC, WI
NPI
1720713753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 148381)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
SHAUNA LEE KOFOED
860 N 18TH ST
MANITOWOC, WI 54220-3131
Phone number: 414-708-6119
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Mailing Address
SHAUNA LEE KOFOED
860 N 18TH ST
MANITOWOC, WI 54220-3131
Phone number: 414-708-6119
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