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1215194428
MELISSA J DIEHL
LACKAWANNA, NY
NPI
1215194428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: NY 000699)
Enumeration Date
2008-05-16
Last Update Date
2008-05-16
Business Address
-- MELISSA J DIEHL cda
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9334
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Mailing Address
-- MELISSA J DIEHL cda
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9334
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