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1669038022
DESMOND LAMONT LAYNE
MADISON, WI
NPI
1669038022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-11
Last Update Date
2020-04-02
Business Address
DESMOND LAMONT LAYNE MD
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 513-702-7426
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Mailing Address
DESMOND LAMONT LAYNE MD
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 513-702-7426
Copy
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