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1801306998
ORIN A KELLY
MILWAUKEE, WI
NPI
1801306998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: WI k4006417318200)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
ORIN A KELLY
4856 N 40TH ST
MILWAUKEE, WI 53209-5204
Phone number: 414-759-2276
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Mailing Address
ORIN A KELLY
4856 N 40TH ST
MILWAUKEE, WI 53209-5204
Phone number: 414-759-2276
Copy
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