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1790926087
MARJORIE LAUREL HEADLEY
MILWAUKEE, WI
NPI
1790926087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 301935031)
Enumeration Date
2009-03-16
Last Update Date
2009-03-16
Business Address
Mrs. MARJORIE LAUREL HEADLEY LPN
2458 W LLOYD ST
MILWAUKEE, WI 53205-1048
Phone number: 414-803-4986
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Mailing Address
Mrs. MARJORIE LAUREL HEADLEY LPN
2458 W LLOYD ST
MILWAUKEE, WI 53205-1048
Phone number: 414-803-4986
Copy
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