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1205915980
VALERIE EUGENIA LONG
FORT DEFIANCE, AZ
NPI
1205915980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH1092)
Enumeration Date
2006-11-03
Last Update Date
2016-11-02
Business Address
Ms. VALERIE EUGENIA LONG RDH
CORNER OF ROUTE N12 & N7
FORT DEFIANCE, AZ 86504-0589
Phone number: 928-729-8890
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Mailing Address
Ms. VALERIE EUGENIA LONG RDH
P.O. BOX 589
FORT DEFIANCE, AZ 86504-0589
Phone number: 928-729-8890
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