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1205045242
LEROY LANG
MILWAUKEE, WI
NPI
1205045242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: WI L520-5205-3330-02)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- LEROY LANG
1000 N 92ND ST
MILWAUKEE, WI 53226-3533
Phone number: 414-479-9400
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Mailing Address
-- LEROY LANG
4506 N 42ND ST
MILWAUKEE, WI 53209-5826
Phone number: 414-479-9400
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