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1184805244
OUR DESTINY, LLC.
MILWAUKEE, WI
NPI
1184805244
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Entity Type
Organization
Authorized Contact
KATINA FULLER
Agent
414-349-1012
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2007-11-16
Last Update Date
2007-11-16
Business Address
OUR DESTINY, LLC.
7211 W BRENTWOOD AVE
MILWAUKEE, WI 53223-6125
Phone number: 414-349-1012
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Mailing Address
OUR DESTINY, LLC.
PO BOX 250780
MILWAUKEE, WI 53225-6511
Phone number:
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