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1457561045
CHARLIE J GORDON
MILWAUKEE, WI
NPI
1457561045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172A00000X Driver
(Licence: WI G635-1107-1325-04)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- CHARLIE J GORDON
1000 N 92ND ST
MILWAUKEE, WI 53226-3533
Phone number: 414-479-9400
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Mailing Address
-- CHARLIE J GORDON
3730 W CAPITOL DR
MILWAUKEE, WI 53216-2539
Phone number: 414-479-9400
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