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1952949273
LONNIE BRIGHAM
JANESVILLE, WI
NPI
1952949273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2019-12-17
Last Update Date
2019-12-17
Business Address
LONNIE BRIGHAM
3512 MIDVALE DR APT 8
JANESVILLE, WI 53546-1199
Phone number: 608-290-3619
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Mailing Address
LONNIE BRIGHAM
3512 MIDVALE DR APT 8
JANESVILLE, WI 53546-1199
Phone number: 608-290-3619
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