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1235407495
SAMANTHA RAE LANHAM
DOWNERS GROVE, IL
NPI
1235407495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020.013605)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
Miss SAMANTHA RAE LANHAM RDH
6800 MAIN ST STE 315
DOWNERS GROVE, IL 60516-3478
Phone number: 630-343-5296
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Mailing Address
Miss SAMANTHA RAE LANHAM RDH
6824 WHITE EGRET CT
TINLEY PARK, IL 60477-3974
Phone number:
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