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1790350908
POTTERS HOUSE PNCC SERVICES
MILWAUKEE, WI
NPI
1790350908
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Entity Type
Organization
Authorized Contact
DEQUANA BOSTICK
Owner
414-419-1025
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
POTTERS HOUSE PNCC SERVICES
2110 W NATIONAL AVE
MILWAUKEE, WI 53204-1159
Phone number: 414-940-8564
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Mailing Address
POTTERS HOUSE PNCC SERVICES
824 S 18TH ST
MILWAUKEE, WI 53204-1125
Phone number: 414-419-1025
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