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Individual

MS. DOLORES ANN GAUTHIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
15280 W BLUEMOUND RD, ELM GROVE, WI 53122-2351
(262) 782-3004
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
313-60
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
313-60
HEARING INSTRUMENT SPECIALIST LICENSE NUMBER
WI
Enumeration date
07/25/2018
Last updated
09/26/2024
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