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1053697201
KISMET MAYO
BROOKINGS, OR
NPI
1053697201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: OR DT-DO-10131106)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
MRS. KISMET MAYO DENTURIST
1041 CHETCO AVE
BROOKINGS, OR 97415-7153
Phone number: 541-412-8000
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Mailing Address
MRS. KISMET MAYO DENTURIST
PO BOX 6459
BROOKINGS, OR 97415-0279
Phone number: 541-412-8000
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