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1902848252
ANDRE D HARWELL
MILWAUKEE, WI
NPI
1902848252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 722-039)
Enumeration Date
2006-06-12
Last Update Date
2007-09-26
Business Address
Mr. ANDRE D HARWELL LAT
625 E SAINT PAUL AVE
MILWAUKEE, WI 53202-5907
Phone number: 414-223-2727
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Mailing Address
Mr. ANDRE D HARWELL LAT
11931 W MILL RD
MILWAUKEE, WI 53225-1023
Phone number: 414-760-0517
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