LAURIE JOHNSON

WAUSAU, WI
NPI1144468653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  5064)
Enumeration Date2009-01-22
Last Update Date2009-01-22
Business Address
-- LAURIE JOHNSON
413 N 17TH AVE
WAUSAU, WI 54401-4226
Phone number: 715-842-4649
Mailing Address
-- LAURIE JOHNSON
413 N 17TH AVE
WAUSAU, WI 54401-4226
Phone number:
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