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Individual

SHARITA BLAKEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
337 N 40TH ST, MILWAUKEE, WI 53208-3740
(414) 238-3068
Mailing address
337 N 40TH ST, MILWAUKEE, WI 53208-3740
(414) 238-3068

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
326590
WI

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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