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1124736020
KATHLEEN LYNN COLLIER
BEDFORD, IN
NPI
1124736020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
124Q00000X Dental Hygienist
(Licence: IN 13006702A)
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
KATHLEEN LYNN COLLIER OMT
1545 J ST
BEDFORD, IN 47421-3839
Phone number: 812-583-6565
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Mailing Address
KATHLEEN LYNN COLLIER OMT
2320 30TH ST
BEDFORD, IN 47421-5416
Phone number: 812-583-6565
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