DIANE E KOSAR

KENOSHA, WI
NPI1043466196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  4452-016)
Enumeration Date2008-08-08
Last Update Date2008-08-08
Business Address
-- DIANE E KOSAR
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
Mailing Address
-- DIANE E KOSAR
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
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