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1194946079
KIRK RICHARD FISHBAUGH
GREEN BAY, WI
NPI
1194946079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 4714-015)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. KIRK RICHARD FISHBAUGH D.D.S.
2625 TULIP LN
GREEN BAY, WI 54313-6855
Phone number: 920-434-1515
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Mailing Address
Dr. KIRK RICHARD FISHBAUGH D.D.S.
2625 TULIP LN
GREEN BAY, WI 54313-6855
Phone number: 920-434-1515
Copy
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