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1023510906
STEPHANIE R HOLLIS
ELLINGTON, MO
NPI
1023510906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MO 2017017988)
Enumeration Date
2018-03-06
Last Update Date
2018-03-06
Business Address
STEPHANIE R HOLLIS RDH
115 W WALNUT ST
ELLINGTON, MO 63638-9300
Phone number: 573-663-3177
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Mailing Address
STEPHANIE R HOLLIS RDH
PO BOX 157
ELLINGTON, MO 63638-0157
Phone number: 573-663-2313
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