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1154771236
ALICE BERG
JOINT BASE LEWIS MCCHORD, WA
NPI
1154771236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 13046)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
Ms. ALICE BERG RDH
527 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA 98438-1304
Phone number: 253-982-5505
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Mailing Address
Ms. ALICE BERG RDH
PO BOX 39793
LAKEWOOD, WA 98496-3793
Phone number: 831-206-7040
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