JACKIE SOON LONGMIRE

CASHTON, WI
NPI1598003964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  11175-16)
Enumeration Date2013-01-19
Last Update Date2013-01-19
Business Address
MISS JACKIE SOON LONGMIRE RDH
238 FRONT ST
CASHTON, WI 54619-2002
Phone number: 608-654-5100
Mailing Address
MISS JACKIE SOON LONGMIRE RDH
12735 US HIGHWAY 61
SOLDIERS GROVE, WI 54655-6000
Phone number: 608-632-3641
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