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1134455439
JAY PATRICH BRENDEMUEHL
MADISON, WI
NPI
1134455439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 5204)
Enumeration Date
2009-10-22
Last Update Date
2009-10-22
Business Address
Mr. JAY PATRICH BRENDEMUEHL RDH
5100 EASTPARK BLVD
MADISON, WI 53718-2149
Phone number: 608-222-8232
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Mailing Address
Mr. JAY PATRICH BRENDEMUEHL RDH
5100 EASTPARK BLVD
MADISON, WI 53718-2149
Phone number: 608-222-8232
Copy
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