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1760062236
PHOENIX RISING PNCC LLC
MILWAUKEE, WI
NPI
1760062236
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Entity Type
Organization
Authorized Contact
CARLA BERNARD GAMBLE
Sole Member
262-349-8560
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
PHOENIX RISING PNCC LLC
423 W CENTER ST
MILWAUKEE, WI 53212-2724
Phone number: 262-349-8560
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Mailing Address
PHOENIX RISING PNCC LLC
423 W CENTER ST
MILWAUKEE, WI 53212-2724
Phone number: 262-349-8560
Copy
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