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1760244495
SHANICE L BAQUET
MILWAUKEE, WI
NPI
1760244495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
SHANICE L BAQUET
2803 N TEUTONIA AVE UNIT B
MILWAUKEE, WI 53206-2661
Phone number: 262-457-9815
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Mailing Address
SHANICE L BAQUET
2656 N TEUTONIA AVE UNIT 6566
MILWAUKEE, WI 53206-3421
Phone number: 262-457-9815
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