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Individual

JESSICA M ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2 COPELAND AVE STE 203, LA CROSSE, WI 54603-3419
(608) 782-4054
(608) 782-2198
Mailing address
33805 BURNS VALLEY RD, LA CRESCENT, MN 55947-4246
(612) 202-7357
(608) 782-2198

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10269-16
WI

Other

Enumeration date
08/25/2016
Last updated
08/25/2016
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