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Individual

MISS CHANTE CERISE COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED PRACTICAL N

Contact information

Practice address
5148 N 48TH ST APT# 3, MILWAUKEE, WI 53209-5556
(414) 467-4599
Mailing address
2751 N 41ST STREET, MILWAUKEE, WI 53210-2421
(414) 699-6856

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303454-031
WI

Other

Enumeration date
10/31/2011
Last updated
08/09/2024
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