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1912472242
NICHOLAS DERKOWSKI
APPLETON, WI
NPI
1912472242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 323307)
Enumeration Date
2018-10-13
Last Update Date
2018-10-13
Business Address
NICHOLAS DERKOWSKI
2255 W PERSHING ST
APPLETON, WI 54914-6061
Phone number: 920-509-2025
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Mailing Address
NICHOLAS DERKOWSKI
2255 W PERSHING ST
APPLETON, WI 54914-6061
Phone number: 920-509-2025
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