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Individual

MRS. JAMIE BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
4182 W WISCONSIN AVE, APPLETON, WI 54913-8652
(920) 734-4649
Mailing address
N1484 ANKLAM RD, WEYAUWEGA, WI 54983
(920) 312-4152

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002710-16
WI

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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