LORY ANNE LONG

LA CROSSE, WI
NPI1639310386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  9727-16)
Enumeration Date2009-03-10
Last Update Date2009-03-10
Business Address
LORY ANNE LONG RDH
615 10TH ST S
LA CROSSE, WI 54601-4768
Phone number: 608-782-4054
Mailing Address
LORY ANNE LONG RDH
1105 JEFFERSON AVE
SPARTA, WI 54656-2019
Phone number: 608-386-5859
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