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Individual

MRS. JENNIFER M BORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
412 W KINNE ST, PIERCE CO. PUBLIC HEALTH, ELLSWORTH, WI 54011-9230
(715) 273-6755
(715) 273-6854
Mailing address
412 W KINNE ST, PIERCE CO. PUBLIC HEALTH, ELLSWORTH, WI 54011-9230
(715) 273-6755
(715) 273-6854

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9681-016
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33813400
WI
Enumeration date
08/31/2007
Last updated
08/31/2007
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