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1477211860
LEA MENDOLLA
GREEN BAY, WI
NPI
1477211860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 5201-16)
Enumeration Date
2021-12-02
Last Update Date
2024-05-06
Business Address
LEA MENDOLLA RDH
139 S TAYLOR ST
GREEN BAY, WI 54303-2615
Phone number: 920-583-9051
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Mailing Address
LEA MENDOLLA RDH
139 S TAYLOR ST
GREEN BAY, WI 54303-2615
Phone number: 920-583-9051
Copy
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