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1073915419
MYLAI TENNER
MILWAUKEE, WI
NPI
1073915419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2014-09-17
Last Update Date
2014-09-17
Business Address
-- MYLAI TENNER
2838 N 1ST ST
MILWAUKEE, WI 53212-2404
Phone number: 414-312-7729
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Mailing Address
-- MYLAI TENNER
2838 N 1ST ST
MILWAUKEE, WI 53212-2404
Phone number: 414-312-7729
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