DOROTHEA M ANICH

MUKWONAGO, WI
NPI1982871505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: WI  2205-026)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
-- DOROTHEA M ANICH OTR
417 MAIN ST
MUKWONAGO, WI 53149
Phone number: 262-363-8097
Mailing Address
-- DOROTHEA M ANICH OTR
417 MAIN ST
MUKWONAGO, WI 53149
Phone number: 262-363-8097
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