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1215572409
CARLA L DAVIS
MILWAUKEE, WI
NPI
1215572409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2019-11-12
Last Update Date
2019-11-12
Business Address
CARLA L DAVIS
3709 N. 41ST STREET
MILWAUKEE, WI 53216-3044
Phone number: 414-499-7270
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Mailing Address
CARLA L DAVIS
3709 N 41ST ST
MILWAUKEE, WI 53216-3044
Phone number:
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