Individual
JERILYN M FLIPSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6435
Mailing address
623 ASPEN AVE, OOSTBURG, WI 53070-1455
(920) 564-2398
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4635-016
WI
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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