CONNIE LEE BEVRY

KENOSHA, WI
NPI1801454269
Former NameCONNIE LEE SOMMERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WI  3635-15)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
CONNIE LEE BEVRY
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-656-0044
Mailing Address
CONNIE LEE BEVRY
625 57TH ST STE 700
KENOSHA, WI 53140-4146
Phone number: 262-656-0044
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