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1023525128
LATHEA BROOKS
MILWAUKEE, WI
NPI
1023525128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: WI B6205249184602)
Enumeration Date
2018-01-10
Last Update Date
2018-06-16
Business Address
LATHEA BROOKS
6010 W CALUMET RD APT 104
MILWAUKEE, WI 53223-4127
Phone number: 414-202-7465
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Mailing Address
LATHEA BROOKS
6010 W CALUMET RD APT 104
MILWAUKEE, WI 53223-4127
Phone number: 414-202-7465
Copy
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