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Individual

CASSANDRA ANN MYERS-KNAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, OMT

Contact information

Practice address
11417 HICKORY RD, BAGLEY, WI 53801-9712
(608) 765-1507
Mailing address
11417 HICKORY RD, BAGLEY, WI 53801-9712
(608) 765-1507

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11005-16
WI
174400000X
Specialist
Primary
11005-16
WI

Other

Enumeration date
09/30/2022
Last updated
09/30/2022
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