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1871972349
INNOVATIVE WISCONSIN, LLC
GREEN BAY, WI
NPI
1871972349
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Entity Type
Organization
Authorized Contact
DRUE RAY
Officer
828-684-8441
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
INNOVATIVE WISCONSIN, LLC
445 S MADISON ST
GREEN BAY, WI 54301-4101
Phone number: 920-431-0962
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Mailing Address
INNOVATIVE WISCONSIN, LLC
445 S MADISON ST
GREEN BAY, WI 54301-4101
Phone number: 920-431-0962
Copy
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