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1558807735
DERREK CARTER
MILWAUKEE, WI
NPI
1558807735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 303122-31)
Enumeration Date
2017-01-12
Last Update Date
2017-01-12
Business Address
MR. DERREK CARTER LPN
8027 W BECKETT AVE
MILWAUKEE, WI 53218-4626
Phone number: 414-202-1974
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Mailing Address
MR. DERREK CARTER LPN
8027 W BECKETT AVE
MILWAUKEE, WI 53218-4626
Phone number: 414-202-1974
Copy
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