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1104191261
TASHA RAE HUGHBANKS
PRAIRIE DU SAC, WI
NPI
1104191261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 10702-016)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Ms. TASHA RAE HUGHBANKS RDH
1906 NORTH ST
PRAIRIE DU SAC, WI 53578-1148
Phone number: 608-644-0504
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Mailing Address
Ms. TASHA RAE HUGHBANKS RDH
245 6TH ST
PRAIRIE DU SAC, WI 53578-1315
Phone number: 608-393-1430
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