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Individual
MR. JAY PATRICH BRENDEMUEHL
Active
Individual
MR. JAY PATRICH BRENDEMUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5204
WI
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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