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1235639014
TERRELL MARTIN
MILWAUKEE, WI
NPI
1235639014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-02-18
Last Update Date
2018-02-18
Business Address
TERRELL MARTIN
4629 W SCRANTON PL
MILWAUKEE, WI 53216-2920
Phone number: 414-758-1261
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Mailing Address
TERRELL MARTIN
4629 W SCRANTON PL
MILWAUKEE, WI 53216-2920
Phone number: 414-758-1261
Copy
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