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Mary Bornick, LICENSE PRACTICAL NU
NPI 1306080551 · on the registry since 2009 · sole proprietor
Practice
- Address
- W. 6143 N. Thornapple Court
Fort Atkinson, WI 53538 - Phone
- (920) 563-2359
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin