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1144322348
TARA A. WHITSON
GALLUP, NM
NPI
1144322348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020-010908)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- TARA A. WHITSON RDH
516 E. NIZHONI BLVD. BOX 1337
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
-- TARA A. WHITSON RDH
516 E. NIZHONI BLVD. BOX 1337
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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