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1891262275
SHANDA L GOECKS
KENOSHA, WI
NPI
1891262275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 190756)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
SHANDA L GOECKS
6916 26TH AVE
KENOSHA, WI 53143
Phone number: 262-914-0081
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Mailing Address
SHANDA L GOECKS
6916 26TH AVE
KENOSHA, WI 53143-5202
Phone number:
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