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1851642433
LI PAN
BROOKFIELD, WI
NPI
1851642433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 315602-31)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
-- LI PAN LPN
4700 SHASTA DR
BROOKFIELD, WI 53045-1006
Phone number: 262-391-7264
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Mailing Address
-- LI PAN LPN
4700 SHASTA DR
BROOKFIELD, WI 53045-1006
Phone number: 262-391-7264
Copy
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