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1750318861
AIRIGA J TUCKER-MIMS
WEST ALLIS, WI
NPI
1750318861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5612-015)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Dr. AIRIGA J TUCKER-MIMS DDS
555 S 108TH ST
WEST ALLIS, WI 53214-1100
Phone number: 414-566-6400
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Mailing Address
Dr. AIRIGA J TUCKER-MIMS DDS
555 S 108TH ST
WEST ALLIS, WI 53214-1100
Phone number: 414-566-6400
Copy
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