# BLUE PEARL INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437413911
- **Authorized official:** JANENE LANG (OWNER)
- **Authorized official phone:** (920) 318-1352

## Contact information

- **Practice address:** 8652 S MARKET PLACE, OAK CREEK, WI 53154
- **Practice address phone:** (920) 318-1352
- **Mailing address:** 8652 S MARKET PLACE, OAK CREEK, WI 53154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2012
- **Last updated:** 06/28/2012
