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1104165885
LISSETTE LOEB
MIDDLETOWN, NY
NPI
1104165885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 020087-1)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
LISSETTE LOEB RDH
12 THOMAS JEFFERSON PL
MIDDLETOWN, NY 10940-4511
Phone number: 845-467-0463
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Mailing Address
LISSETTE LOEB RDH
12 THOMAS JEFFERSON PL
MIDDLETOWN, NY 10940-4511
Phone number: 845-467-0463
Copy
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