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1053863969
KIM BAKOS
ELYRIA, OH
NPI
1053863969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OH 31-014570)
Enumeration Date
2016-10-26
Last Update Date
2016-10-26
Business Address
Mrs. KIM BAKOS RDH
202 CHESTNUT ST
ELYRIA, OH 44035-5325
Phone number: 440-284-1562
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Mailing Address
Mrs. KIM BAKOS RDH
202 CHESTNUT ST
ELYRIA, OH 44035-5325
Phone number: 440-284-1562
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