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1700102126
MARLON BRANDON MCKAY
MILWAUKEE, WI
NPI
1700102126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 310796-031)
Enumeration Date
2010-04-09
Last Update Date
2010-04-09
Business Address
-- MARLON BRANDON MCKAY LPN
901 W WINNEBAGO ST APT 218
MILWAUKEE, WI 53205-2561
Phone number: 414-975-0315
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Mailing Address
-- MARLON BRANDON MCKAY LPN
PO BOX 05441
MILWAUKEE, WI 53205-0441
Phone number: 414-975-0315
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