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1972919009
EDDIE ELLIS
MILWAUKEE, WI
NPI
1972919009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center Community Health
Enumeration Date
2014-07-09
Last Update Date
2014-07-09
Business Address
EDDIE ELLIS
8808 W MILL RD APT 1
MILWAUKEE, WI 53225-1853
Phone number: 414-610-4318
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Mailing Address
EDDIE ELLIS
8808 W MILL RD APT 1
MILWAUKEE, WI 53225-1853
Phone number:
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