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1487066338
ALICIA MARIE BRUDER
PRAIRIE FARM, WI
NPI
1487066338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WI 12453-146)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
Mrs. ALICIA MARIE BRUDER LMT
219 RIVER AVE S
PRAIRIE FARM, WI 54762-9786
Phone number: 715-455-1166
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Mailing Address
Mrs. ALICIA MARIE BRUDER LMT
219 RIVER AVE S P.O. BOX 65
PRAIRIE FARM, WI 54762-9786
Phone number: 715-455-1166
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