LISA GABRIUS FORTUNATO

RACINE, WI
NPI1275699738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5427)
Enumeration Date2006-12-29
Last Update Date2007-07-08
Business Address
Dr. LISA GABRIUS FORTUNATO
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300
Mailing Address
Dr. LISA GABRIUS FORTUNATO
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300
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