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1104246875
PAMELA D ICHIYASU
DENVER, CO
NPI
1104246875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 906146)
Enumeration Date
2014-04-22
Last Update Date
2014-04-22
Business Address
-- PAMELA D ICHIYASU R. D. H.
5031 S ULSTER ST SUITE 100
DENVER, CO 80237-2804
Phone number: 303-779-8587
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Mailing Address
-- PAMELA D ICHIYASU R. D. H.
1511 BEACON HILL DR
HIGHLANDS RANCH, CO 80126-4268
Phone number: 303-378-4977
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