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Organization
CHARLIE ENTERPRISES
Active
Organization
CHARLIE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES JOHNSON III (OWNER)
(414) 395-5025
Entity
Organization
Contact information
Practice address
6814 N 91ST ST, MILWAUKEE, WI 53224-4711
(414) 395-5025
Mailing address
6814 N 91ST ST, MILWAUKEE, WI 53224-4711
(414) 395-5025
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
J5251407021304
WI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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