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NPI Provider: 1083619761
Contact Name: Peterson J Linda
Position: Director of HR and Office Services
Phone: (262) 473-2140
Fairhaven Corporation Information:
Fairhaven Corporation organization have npi 1083619761, taxonomy code is 314000000X with license number is 1039 in . This Business address located in 435 W Starin Rd, Whitewater, WI 53190 Wisconsin. Get directions of Fairhaven Corporation.
Practice Location
Address: 435 W Starin Rd, Whitewater, WI 53190
Phone: (262) 473-3445
Business Location
Address: 435 W Starin Rd, Whitewater, WI 53190
Phone: (262) 473-3445
Fax: (262) 473-5468
Taxonomy
Taxonomy Code: 314000000X
License Number: 1039
License Number of State: WI
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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