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1053478115
EDMUND JUNG
KENOSHA, WI
NPI
1053478115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 1687)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. EDMUND JUNG
3715 WASHINGTON RD
KENOSHA, WI 53144-1629
Phone number: 262-654-6800
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Mailing Address
Dr. EDMUND JUNG
3715 WASHINGTON RD
KENOSHA, WI 53144-1629
Phone number: 262-654-6800
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