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1003217423
KENNETH SANTANA
MILWAUKEE, WI
NPI
1003217423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: WI 17228-130)
Enumeration Date
2014-09-05
Last Update Date
2014-09-05
Business Address
-- KENNETH SANTANA SAC-IT
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-649-1929
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Mailing Address
-- KENNETH SANTANA SAC-IT
1624A W WASHINGTON ST
MILWAUKEE, WI 53204-2064
Phone number: 414-649-1929
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