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Individual

NANCY JEAN RUBLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.H., CDHC

Contact information

Practice address
104 S EYDER AVE, PHILLIPS, WI 54555-1342
(715) 339-5311
(715) 339-3057
Mailing address
N 16399 HELBERG ROAD, BUTTERNUT, WI 54514
(715) 762-1842

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1001772-016
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33809400
WI
Enumeration date
06/06/2007
Last updated
07/09/2007
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