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1992092183
TERESA CHANELLE MACK
MILWAUKEE, WI
NPI
1992092183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 309311-31)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
Ms. TERESA CHANELLE MACK LPN
8605 N GRANVILLE RD APT.6
MILWAUKEE, WI 53224-2368
Phone number: 414-366-0912
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Mailing Address
Ms. TERESA CHANELLE MACK LPN
8605 N GRANVILLE RD APT.6
MILWAUKEE, WI 53224-2368
Phone number: 414-366-0912
Copy
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