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Organization

LYL COMMUNITY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YVETTE M MASON (OWNER/OPERATOR)
(414) 699-9288
Entity
Organization

Contact information

Practice address
4357 N 71ST ST, MILWAUKEE, WI 53216-1031
(414) 699-9288
Mailing address
4357 N 71ST ST, MILWAUKEE, WI 53216-1031
(414) 699-9288

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
07/02/2014
Last updated
07/02/2014
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