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Individual

MARY WESLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4522 N 78TH ST, MILWAUKEE, WI 53218-5306
(414) 536-0340
(414) 536-0340
Mailing address
4522 N 78TH ST, MILWAUKEE, WI 53218-5306
(414) 536-0340
(414) 536-0340

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
WI

Other

Enumeration date
03/21/2006
Last updated
07/08/2007
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