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1013190503
GILBERT MEDINA
MILWAUKEE, WI
NPI
1013190503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 10847130)
Enumeration Date
2007-12-07
Last Update Date
2007-12-07
Business Address
Mr. GILBERT MEDINA SACIT
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
Mr. GILBERT MEDINA SACIT
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
Copy
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