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1275397002
LISA FEDIE
EAU CLAIRE, WI
NPI
1275397002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 3681)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
LISA FEDIE RDH
822 S HASTINGS WAY
EAU CLAIRE, WI 54701-3426
Phone number: 715-861-7901
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Mailing Address
LISA FEDIE RDH
15735 W US HIGHWAY 63
HAYWARD, WI 54843-6475
Phone number: 715-934-0710
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