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Individual

TAMIKO WILDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2973 N 56TH ST, MILWAUKEE, WI 53210-1528
(414) 837-3904
Mailing address
2973 N 56TH ST, MILWAUKEE, WI 53210-1528
(414) 837-3904

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305006-031
WI

Other

Enumeration date
12/15/2010
Last updated
12/15/2010
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