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1184325052
THOMAS STEPHEN BRUNDAGE
MILWAUKEE, WI
NPI
1184325052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-16
Last Update Date
2024-03-26
Business Address
THOMAS STEPHEN BRUNDAGE
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-3000
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Mailing Address
THOMAS STEPHEN BRUNDAGE
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number:
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