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1740455054
WAYNE DONELL BRUNSON
MADISON, WI
NPI
1740455054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 303901)
Enumeration Date
2008-04-28
Last Update Date
2008-04-28
Business Address
Mr. WAYNE DONELL BRUNSON LPN
3014 WORTHINGTON AVE APT 2
MADISON, WI 53714-1609
Phone number: 608-249-8440
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Mailing Address
Mr. WAYNE DONELL BRUNSON LPN
3014 WORTHINGTON AVE APT 2
MADISON, WI 53714-1609
Phone number: 608-249-8440
Copy
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