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1245922095
EPHPHATHA TINY MOUTH THERAPY LLC
FOND DU LAC, WI
NPI
1245922095
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Entity Type
Organization
Authorized Contact
BRIDGET SCHUMAKER
Owner
262-483-6597
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
EPHPHATHA TINY MOUTH THERAPY LLC
490 W ROLLING MEADOWS DR
FOND DU LAC, WI 54937-8624
Phone number: 262-483-6597
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Mailing Address
EPHPHATHA TINY MOUTH THERAPY LLC
9565 BOLTONVILLE RD
KEWASKUM, WI 53040-9730
Phone number:
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