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1417014572
POORNIMA JAYAPRAKASH
RACINE, WI
NPI
1417014572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 4048)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. POORNIMA JAYAPRAKASH
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300
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Mailing Address
Dr. POORNIMA JAYAPRAKASH
6218 WASHINGTON AVE SUITE C
RACINE, WI 53406-3916
Phone number: 262-886-1300
Copy
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