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Individual

OWEN J MIRALRIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3201 S 16TH ST STE 1000, MILWAUKEE, WI 53215-4532
(414) 389-3180
Mailing address
1926 S 21ST ST # A, MILWAUKEE, WI 53204-3603
(414) 333-9993

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
WI035833501106
WI

Other

Enumeration date
04/19/2023
Last updated
04/19/2023
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