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1508448853
KENOSHA PAIN CENTER LLC
KENOSHA, WI
NPI
1508448853
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Entity Type
Organization
Authorized Contact
KAREN M BEWER
Administrator
262-297-7246
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2021-04-26
Last Update Date
2021-05-04
Business Address
KENOSHA PAIN CENTER LLC
6123 GREEN BAY RD STE 100
KENOSHA, WI 53142-2939
Phone number: 262-297-7246
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Mailing Address
KENOSHA PAIN CENTER LLC
2500 W LAYTON AVE STE 200
MILWAUKEE, WI 53221-5434
Phone number: 262-297-7246
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