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1770502676
DIANE E. ROTH
MILWAUKEE, WI
NPI
1770502676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: WI 48926-030)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Ms. DIANE E. ROTH RN
5000 WEST NATIONAL AVENUE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
Ms. DIANE E. ROTH RN
1548 KAULETTE DRIVE
GRAFTON, WI 53024-9652
Phone number: 262-618-4467
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