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1023153947
LEILANE U STA ROMANA MDSC
KENOSHA, WI
NPI
1023153947
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Entity Type
Organization
Authorized Contact
LEILANE U STA ROMANA
Owner And President
262-658-3706
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-02-20
Last Update Date
2020-08-22
Business Address
LEILANE U STA ROMANA MDSC
3734 7TH AVE DOMINICAN BUILDING SUITE 15
KENOSHA, WI 53140-5525
Phone number: 262-658-3706
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Mailing Address
LEILANE U STA ROMANA MDSC
3734 7TH AVE DOMINICAN BUILDING SUITE 15
KENOSHA, WI 53140-5525
Phone number: 262-658-3706
Copy
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