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1750807129
JEFFREY ROYAL DEEMER-WHITE
DELAFIELD, WI
NPI
1750807129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374T00000X Religious Nonmedical Nursing Personnel
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
JEFFREY ROYAL DEEMER-WHITE
935 MAIN ST
DELAFIELD, WI 53018-1613
Phone number: 262-646-3361
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Mailing Address
JEFFREY ROYAL DEEMER-WHITE
4912 WOODFIELD CT APT 7
NASHOTAH, WI 53058-9661
Phone number: 262-646-3361
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