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1265781009
TIA MARIE NIFFENEGGER
WAUKESHA, WI
NPI
1265781009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 11315-16)
Enumeration Date
2012-09-07
Last Update Date
2012-09-07
Business Address
-- TIA MARIE NIFFENEGGER RDH
W286N991 SHEPHERDS WAY
WAUKESHA, WI 53188-9493
Phone number: 262-896-9891
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Mailing Address
-- TIA MARIE NIFFENEGGER RDH
W286N991 SHEPHERDS WAY
WAUKESHA, WI 53188-9493
Phone number: 262-896-9891
Copy
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