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1255083408
RUSSELL DEON VARNADO
MILWAUKEE, WI
NPI
1255083408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
RUSSELL DEON VARNADO
2650 N 20TH ST
MILWAUKEE, WI 53206-1501
Phone number: 414-502-5141
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Mailing Address
RUSSELL DEON VARNADO
2650 N 20TH ST
MILWAUKEE, WI 53206-1501
Phone number: 414-502-5141
Copy
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