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Individual

EARL JAMES MULQUEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 CENTURY AVE, ANTIGO, WI 54409-2473
(715) 216-9646
Mailing address
701 CENTURY AVE, ANTIGO, WI 54409-2473
(715) 216-9646
(715) 350-4247

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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