SUSANNA KAY MIKKELSON

WAUKESHA, WI
NPI1942642525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence:   6735-16)
Enumeration Date2013-07-23
Last Update Date2013-07-23
Business Address
-- SUSANNA KAY MIKKELSON RDH
W286N991 SHEPHERDS WAY
WAUKESHA, WI 53188-9493
Phone number: 262-896-9891
Mailing Address
-- SUSANNA KAY MIKKELSON RDH
W286N991 SHEPHERDS WAY
WAUKESHA, WI 53188-9493
Phone number: 262-896-9891
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