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Individual

MR. LEE P THAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
7850 W APPLETON AVE, SUITE 200, MILWAUKEE, WI 53218-5309
(414) 585-9221
Mailing address
7850 W APPLETON AVE, SUITE 200, MILWAUKEE, WI 53218-5309
(414) 585-9221

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/29/2014
Last updated
09/29/2014
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