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1922012038
NICOLAS J. SHANE
MENOMONEE FALLS, WI
NPI
1922012038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5000948-015)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- NICOLAS J. SHANE D.D.S.
N79W14756 APPLETON AVE SUITE 100
MENOMONEE FALLS, WI 53051-4376
Phone number: 262-251-2010
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Mailing Address
-- NICOLAS J. SHANE D.D.S.
N79W14756 APPLETON AVE SUITE 100
MENOMONEE FALLS, WI 53051-4376
Phone number: 262-251-2010
Copy
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