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1316397599
DIANNE HOLLY AMBROSEK
FORT SILL, OK
NPI
1316397599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2016-06-17
Last Update Date
2016-07-08
Business Address
Mrs. DIANNE HOLLY AMBROSEK CDA,E.F.D.A
652 HAMILTON ROAD
FORT SILL, OK 73503
Phone number: 580-442-3905
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Mailing Address
Mrs. DIANNE HOLLY AMBROSEK CDA,E.F.D.A
652 HAMILTON ROAD
FORT SILL, OK 73503
Phone number: 580-442-3905
Copy
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