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1164173605
ALFATAH MUHUDIN HASSAN
CUDAHY, WI
NPI
1164173605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: WI H2500139810006)
Enumeration Date
2022-01-17
Last Update Date
2023-08-31
Business Address
ALFATAH MUHUDIN HASSAN
5515 S DISCH AVE APT 2
CUDAHY, WI 53110-2630
Phone number: 414-334-3341
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Mailing Address
ALFATAH MUHUDIN HASSAN
5515 S DISCH AVE APT 2
CUDAHY, WI 53110-2630
Phone number: 414-334-3341
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