Organization
GARY'S ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEROY POTTER JR. (PRESIDENT)
(920) 638-0243
Entity
Organization
Contact information
Practice address
479 LADWIG ST, CAMPBELLSPORT, WI 53010-2760
(920) 638-0243
(920) 533-6043
Mailing address
479 LADWIG ST, CAMPBELLSPORT, WI 53010-2760
(920) 638-0243
(920) 533-6043
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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