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1205265345
CORA ROBERTS
SEWARD, AK
NPI
1205265345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
125J00000X Dental Therapist
(Licence: AK 13-114-DHAT)
Enumeration Date
2013-11-08
Last Update Date
2019-01-09
Business Address
CORA ROBERTS DHAT
201 3RD AVENUE, SUITE 115
SEWARD, AK 99664
Phone number: 907-224-4925
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Mailing Address
CORA ROBERTS DHAT
PO BOX 103
HOONAH, AK 99829-0103
Phone number: 907-945-3235
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