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1003593294
MIKAYLA E ALONZO
OTHELLO, WA
NPI
1003593294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH61462182)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
MIKAYLA E ALONZO RDH
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
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Mailing Address
MIKAYLA E ALONZO RDH
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
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