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1003826892
RODRIGO ITABLE
MILWAUKEE, WI
NPI
1003826892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 20287)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. RODRIGO ITABLE m.d.
2745 W LAYTON AVE SUITE 201
MILWAUKEE, WI 53221-2651
Phone number: 414-281-0050
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Mailing Address
Dr. RODRIGO ITABLE m.d.
5714 GLADSTONE LN
GREENDALE, WI 53129-1511
Phone number: 414-529-3448
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