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1033660154
LAUREN THACKER
WEST BLOOMFIELD, MI
NPI
1033660154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902017535)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- LAUREN THACKER RDH
4301 ORCHARD LAKE RD SUITE 180-184
WEST BLOOMFIELD, MI 48323-1604
Phone number: 888-629-7773
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Mailing Address
-- LAUREN THACKER RDH
5072 CUTTY LN
WARREN, MI 48092-6324
Phone number: 586-214-1991
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