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1083828453
EDWINA FAYE LEE
SAN FIDEL, NM
NPI
1083828453
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Former Name
EDWINA LEE HORN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AL 2038)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
Ms. EDWINA FAYE LEE Dental Hygienist
EXIT 102 OFF I40 1/2 MI SOUTH
SAN FIDEL, NM 87049
Phone number: 505-552-5310
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Mailing Address
Ms. EDWINA FAYE LEE Dental Hygienist
PO BOX 130 ACOMA CANONCITO LAGUNA INDIAN HOSPITAL DHHS IHS
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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