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1578207007
GLENDALE ROBERSON
MILWAUKEE, WI
NPI
1578207007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
GLENDALE ROBERSON
5861 N 39TH ST
MILWAUKEE, WI 53209-3913
Phone number: 414-808-4569
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Mailing Address
GLENDALE ROBERSON
5861 N 39TH ST
MILWAUKEE, WI 53209-3913
Phone number: 414-808-4569
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