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1265203145
LISA MICHELLE PETERSON
SPOKANE, WA
NPI
1265203145
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Former Name
LISA MICHELLE FLATHERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WA DH00007270)
Enumeration Date
2024-01-10
Last Update Date
2024-01-10
Business Address
LISA MICHELLE PETERSON Dental Hygienist
2211 E HARTSON AVE
SPOKANE, WA 99202-4152
Phone number: 509-444-8200
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Mailing Address
LISA MICHELLE PETERSON Dental Hygienist
611 N IRON BRIDGE WAY
SPOKANE, WA 99202-4932
Phone number: 509-444-8888
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