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1720161789
LYNAE D ELLIS
JANESVILLE, WI
NPI
1720161789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 5282015)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
Dr. LYNAE D ELLIS D.D.S., M.S.
1616 N RANDALL AVE
JANESVILLE, WI 53545-1118
Phone number: 608-754-4998
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Mailing Address
Dr. LYNAE D ELLIS D.D.S., M.S.
1616 N RANDALL AVE
JANESVILLE, WI 53545-1118
Phone number: 608-754-4998
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