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1164242715
ALEXANDER MANNEBACH
FOND DU LAC, WI
NPI
1164242715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2024-10-16
Last Update Date
2024-10-16
Business Address
ALEXANDER MANNEBACH
N5682 COUNTY ROAD K
FOND DU LAC, WI 54937-7908
Phone number: 877-300-9101
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Mailing Address
ALEXANDER MANNEBACH
8945 N PARK PLAZA CT APT 307
BROWN DEER, WI 53223-2137
Phone number: 316-285-5862
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