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1790384188
PORSHAE KIMBLE
MILWAUKEE, WI
NPI
1790384188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WI 30311)
Enumeration Date
2020-10-18
Last Update Date
2020-10-18
Business Address
PORSHAE KIMBLE adult family home
4428 W LLOYD ST
MILWAUKEE, WI 53208-1207
Phone number: 414-395-3360
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Mailing Address
PORSHAE KIMBLE adult family home
4428 W LLOYD ST
MILWAUKEE, WI 53208-1207
Phone number: 414-395-3360
Copy
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