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1043537764
MELANIE FETZER
LACKAWANNA, NY
NPI
1043537764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 022038)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
MRS. MELANIE FETZER RDH
790 RIDGE RD
LACKAWANNA, NY 14218-1701
Phone number: 716-828-9348
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Mailing Address
MRS. MELANIE FETZER RDH
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9348
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