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1184477879
THEODORE LANG
MILWAUKEE, WI
NPI
1184477879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
THEODORE LANG
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-7455
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Mailing Address
THEODORE LANG
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-7455
Copy
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