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Individual

NAA NORKOR HAMMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
Mailing address
4660 W COLLEGE, APPLETON, WI 54913-8507

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001635-15
WI

Other

Enumeration date
05/04/2016
Last updated
08/29/2017
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