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1396205910
ALEX PEROUTKY
MILWAUKEE, WI
NPI
1396205910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
ALEX PEROUTKY
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number: 414-288-6790
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Mailing Address
ALEX PEROUTKY
2040 W WISCONSIN AVE APT L-604A
MILWAUKEE, WI 53233-2098
Phone number:
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