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1255969267
LEOU ISMAEL BANLA
MILWAUKEE, WI
NPI
1255969267
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Other Name
ISMAEL BANLA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
LEOU ISMAEL BANLA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1688
Phone number: 414-447-2195
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Mailing Address
LEOU ISMAEL BANLA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1688
Phone number: 414-447-2195
Copy
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