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1780376798
MOHAMEDDEQ A ISSE
MILWAUKEE, WI
NPI
1780376798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: WI I200-5419-7001-07)
Enumeration Date
2023-05-26
Last Update Date
2023-05-26
Business Address
MOHAMEDDEQ A ISSE
5939 S 23RD ST
MILWAUKEE, WI 53221-4901
Phone number: 414-553-3574
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Mailing Address
MOHAMEDDEQ A ISSE
5939 S 23RD ST
MILWAUKEE, WI 53221-4901
Phone number: 414-553-3574
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