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1063849529
CLARISSA JIMENEZ
OTHELLO, WA
NPI
1063849529
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Former Name
CLARISSA GARZA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH60386410)
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
-- CLARISSA JIMENEZ RDH
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-488-5256
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Mailing Address
-- CLARISSA JIMENEZ RDH
140 E MAIN ST
OTHELLO, WA 99344-1040
Phone number: 509-488-5256
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