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1104529783
SHANDA N LEAGUE
MILWAUKEE, WI
NPI
1104529783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
SHANDA N LEAGUE MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575
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Mailing Address
SHANDA N LEAGUE MD
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-4575
Copy
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