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1003233909
FAITH FANN
CHRISTOPHER, IL
NPI
1003233909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020014613)
Enumeration Date
2014-03-28
Last Update Date
2014-03-28
Business Address
-- FAITH FANN RDH
4241 HIGHWAY 14 WEST
CHRISTOPHER, IL 62822
Phone number: 618-724-2401
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Mailing Address
-- FAITH FANN RDH
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2401
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