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1578198461
BRETT WAGNER
MILWAUKEE, WI
NPI
1578198461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
242T00000X Perfusionist
(Licence: WI 226-18)
Enumeration Date
2020-03-11
Last Update Date
2020-03-11
Business Address
BRETT WAGNER
8701 W WATERTOWN PLANK RD FL HUB5
MILWAUKEE, WI 53226-3548
Phone number: 414-955-6900
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Mailing Address
BRETT WAGNER
836 S 86TH ST
WEST ALLIS, WI 53214-2905
Phone number:
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