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Organization

RUH LLC

Active
Other names
Mindora Mental Health & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMAL-EDDIN H DAHER PA-C (OWNER)
(414) 687-8510
Entity
Organization

Contact information

Practice address
3927 S HOWELL AVE, MILWAUKEE, WI 53207-4421
(414) 687-8510
Mailing address
9246 S 44TH ST, FRANKLIN, WI 53132-9597
(414) 687-8510

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/21/2025
Last updated
04/29/2025
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