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1114689601
DWAYNE SMITH
MILWAUKEE, WI
NPI
1114689601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
DWAYNE SMITH
3521 N 53RD ST
MILWAUKEE, WI 53216-2950
Phone number: 608-888-3492
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Mailing Address
DWAYNE SMITH
1314 S 1ST ST
MILWAUKEE, WI 53204-2405
Phone number: 608-888-3492
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