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1295339711
MARQUES ARCHIBOLD
MILWAUKEE, WI
NPI
1295339711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
MARQUES ARCHIBOLD
3720 N VEL R PHILLIPS AVE
MILWAUKEE, WI 53212-4116
Phone number: 414-399-7136
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Mailing Address
MARQUES ARCHIBOLD
3720 N VEL R PHILLIPS AVE
MILWAUKEE, WI 53212-4116
Phone number: 414-399-7136
Copy
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