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Individual

DELORES CHOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
625 57TH ST, SUITE 700, KENOSHA, WI 53140-4146
(262) 656-0044

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1032716
WI

Other

Enumeration date
10/26/2011
Last updated
10/26/2011
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