WAYNE DONELL BRUNSON

MADISON, WI
NPI1740455054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  303901)
Enumeration Date2008-04-28
Last Update Date2008-04-28
Business Address
MR. WAYNE DONELL BRUNSON LPN
3014 WORTHINGTON AVE APT 2
MADISON, WI 53714-1609
Phone number: 608-249-8440
Mailing Address
MR. WAYNE DONELL BRUNSON LPN
3014 WORTHINGTON AVE APT 2
MADISON, WI 53714-1609
Phone number: 608-249-8440
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