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Individual

RACHEL RAE BENDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-A

Contact information

Practice address
1211 RICKMEYER DR, STE. CC, FOND DU LAC, WI 54937-2213
(920) 922-6640
Mailing address
140 CORPORATE DR, STE. 1, BEAVER DAM, WI 53916-1281
(920) 887-9655

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
442-156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41147400
WI
Enumeration date
08/22/2007
Last updated
08/22/2007
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