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1053040295
ANTHONY MOORE
MILWAUKEE, WI
NPI
1053040295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-06-05
Last Update Date
2022-06-05
Business Address
ANTHONY MOORE
5143 N 68TH ST
MILWAUKEE, WI 53218-3909
Phone number: 414-299-9992
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Mailing Address
ANTHONY MOORE
5143 N 68TH ST
MILWAUKEE, WI 53218-3909
Phone number:
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