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1184796278
LISA ANNE MCCLAIN
FARMINGTON, NM
NPI
1184796278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH2430)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
LISA ANNE MCCLAIN
6588 E MAIN ST
FARMINGTON, NM 87402-5122
Phone number: 505-326-6800
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Mailing Address
LISA ANNE MCCLAIN
401 BUNKER AVE
AZTEC, NM 87410-2309
Phone number:
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