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1750132361
CHARLES VITAL HAYNES
MILWAUKEE, WI
NPI
1750132361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
CHARLES VITAL HAYNES
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number: 414-955-0518
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Mailing Address
CHARLES VITAL HAYNES
8701 WATERTOWN PLANK RD
MILWAUKEE, WI 53226-3548
Phone number:
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