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1003525510
SHANE CHARLES, FALBE QUELLA
MADISON, WI
NPI
1003525510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WI 72121)
Enumeration Date
2022-11-23
Last Update Date
2022-11-23
Business Address
Mr. SHANE CHARLES, FALBE QUELLA
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
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Mailing Address
Mr. SHANE CHARLES, FALBE QUELLA
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number: 608-280-2700
Copy
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