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Individual

MR. DEMETRICE NESHAWN RINGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5302 N 63RD ST, MILWAUKEE, WI 53218-3115
(414) 464-7098
Mailing address
5302 N 63RD ST, MILWAUKEE, WI 53218-3115
(414) 464-7098

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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