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1609561752
BLUE LOTUS LIFE LLC
MILWAUKEE, WI
NPI
1609561752
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Entity Type
Organization
Authorized Contact
SHANTELL RILEY
Owner
414-522-5924
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
BLUE LOTUS LIFE LLC
3808 N 60TH ST
MILWAUKEE, WI 53216-2133
Phone number: 414-999-1117
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Mailing Address
BLUE LOTUS LIFE LLC
3808 N 60TH ST
MILWAUKEE, WI 53216-2133
Phone number: 414-522-5924
Copy
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