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1346479896
TERRY N. RUSSELL
BROCKPORT, NY
NPI
1346479896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 014942-1)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
Mrs. TERRY N. RUSSELL
300 WEST AVE
BROCKPORT, NY 14420-1118
Phone number: 585-637-3905
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Mailing Address
Mrs. TERRY N. RUSSELL
300 WEST AVE
BROCKPORT, NY 14420-1118
Phone number: 585-637-3905
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