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1124644364
TEENA BARNES
RIGBY, ID
NPI
1124644364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ID DH-0863-EA)
Enumeration Date
2020-06-23
Last Update Date
2020-06-23
Business Address
TEENA BARNES BSDH, RDH-EA, MFT
3915 E 154 N
RIGBY, ID 83442-5727
Phone number: 208-881-2685
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Mailing Address
TEENA BARNES BSDH, RDH-EA, MFT
3915 E 154 N
RIGBY, ID 83442-5727
Phone number: 208-881-2685
Copy