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Individual

MS. PHYLLIS LEVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2807 N 20TH ST, MILWAUKEE, WI 53206-1605
(414) 467-0303
Mailing address
PO BOX 72068, MILWAUKEE, WI 53212-7268
(414) 467-0303

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L1606617891608
WI

Other

Enumeration date
02/10/2014
Last updated
02/10/2014
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