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1326762972
LISA SODERMAN
JACKSON, MI
NPI
1326762972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902013702)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
LISA SODERMAN RDH
122 HIGHLAND DR
JACKSON, MI 49201-9164
Phone number: 517-740-7422
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Mailing Address
LISA SODERMAN RDH
8441 N P.11 DR
GLADSTONE, MI 49837-2654
Phone number: 906-280-4857
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