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1063548360
RICHARD L. DEFURIO
RACINE, WI
NPI
1063548360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 500894-015)
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Dr. RICHARD L. DEFURIO D.D.S.
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156
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Mailing Address
Dr. RICHARD L. DEFURIO D.D.S.
2601 TAYLOR AVE
RACINE, WI 53403-2865
Phone number: 262-632-3156
Copy
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