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1982130902
KENNETH JAY ELLEDGE
MILWAUKEE, WI
NPI
1982130902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 184751-30)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
Mr. KENNETH JAY ELLEDGE RN
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-6000
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Mailing Address
Mr. KENNETH JAY ELLEDGE RN
3841 E EDGERTON AVE
CUDAHY, WI 53110-1905
Phone number: 414-405-1971
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