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1356920235
SIMON G AMMANUEL
MADISON, WI
NPI
1356920235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
SIMON G AMMANUEL
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6400
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Mailing Address
SIMON G AMMANUEL
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number:
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