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1003433830
LA CLINICA LATINA LLC
MILWAUKEE, WI
NPI
1003433830
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Entity Type
Organization
Authorized Contact
NEDAL MEJALLI
Registered Agent
414-645-6665
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-06-27
Last Update Date
2020-06-27
Business Address
LA CLINICA LATINA LLC
1238 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2267
Phone number: 414-645-6666
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Mailing Address
LA CLINICA LATINA LLC
PO BOX 639
THIENSVILLE, WI 53092-0639
Phone number: 414-645-6665
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