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1265605265
WESTERN WISCONSIN ORAL HEALTH INITIATIVE
LA CROSSE, WI
NPI
1265605265
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Entity Type
Organization
Authorized Contact
BARBARA L JERUE
Program Head
608-785-9843
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2008-04-10
Last Update Date
2008-04-10
Business Address
WESTERN WISCONSIN ORAL HEALTH INITIATIVE
1300 BADGER ST HEALTH SCIENCE CENTER
LA CROSSE, WI 54601-1502
Phone number: 608-789-6101
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Mailing Address
WESTERN WISCONSIN ORAL HEALTH INITIATIVE
304 6TH ST N
LA CROSSE, WI 54601-3342
Phone number:
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