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Individual

MANUEL URBANO VILLARREAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
529 S JEFFERSON ST STE 203, GREEN BAY, WI 54301-4125
(920) 360-6568
(920) 482-5703
Mailing address
529 S JEFFERSON ST STE 203, GREEN BAY, WI 54301-4125
(920) 360-6568

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
WI

Other

Enumeration date
03/26/2019
Last updated
03/26/2019
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