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1720636962
STEPHANIE LYNN JOHNSON
WAUKESHA, WI
NPI
1720636962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WI 4909)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
Mrs. STEPHANIE LYNN JOHNSON RDH
711 W MORELAND BLVD STE 204
WAUKESHA, WI 53188-2483
Phone number: 262-896-9891
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Mailing Address
Mrs. STEPHANIE LYNN JOHNSON RDH
711 W MORELAND BLVD STE 204
WAUKESHA, WI 53188-2483
Phone number:
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