MS. TINA WALLACE
Nursing at 40 Ave, Kenosha, WI

License number
Wisconsin 31662-31
Category
Nursing
Type
Licensed Vocational Nurse
Address
Address
4603 40Th Ave, Kenosha, WI 53144
Phone
(262) 914-1981
National Provider ID: 1326484056
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Tina Wallace, age 58
545 Dodge St, Mineral Point, WI 53565
(608) 987-2759
Tina Wallace, age 61
4603 40Th Ave, Kenosha, WI 53144
Tina Wallace
411 State St, Mineral Point, WI 53565
(608) 444-7132
Tina Wallace
4368 N 47Th St, Milwaukee, WI 53216
(414) 447-6637
Tina Wallace, age 65
W158 Weiler Rd, Kaukauna, WI 54130
(920) 766-1149

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