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1194834242
KATHERINE E BERRY
DULCE, NM
NPI
1194834242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WY 532)
Enumeration Date
2006-08-30
Last Update Date
2008-06-03
Business Address
-- KATHERINE E BERRY RDH
12000 STONE LAKE RD JICARILLA APACHE HEALTH CARE FACILITY, IHS
DULCE, NM 87528-0000
Phone number: 575-759-3291
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Mailing Address
-- KATHERINE E BERRY RDH
PO BOX 220
DULCE, NM 87528-0220
Phone number: 575-759-0062
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