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Individual

BOLANLE ROCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8941 N SWAN RD, UNIT E, MILWAUKEE, WI 53224-6519
(414) 949-0423
Mailing address
8941 N SWAN RD, UNIT E, MILWAUKEE, WI 53224
(414) 949-0423

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309435-31
WI

Other

Enumeration date
10/19/2011
Last updated
10/19/2011
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