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1568090041
MIR ISAAMULLAH
MILWAUKEE, WI
NPI
1568090041
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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
2020-03-30
Last Update Date
2020-03-30
Business Address
MIR ISAAMULLAH
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6134
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Mailing Address
MIR ISAAMULLAH
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6134
Copy
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