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1699173005
ANDREW LISS
MILWAUKEE, WI
NPI
1699173005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
-- ANDREW LISS
740 N 29TH ST
MILWAUKEE, WI 53208-3966
Phone number: 414-933-7689
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Mailing Address
-- ANDREW LISS
740 N 29TH ST
MILWAUKEE, WI 53208-3966
Phone number: 414-933-7689
Copy
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