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1356825186
ROBERTA RODRIGUEZ
PENASCO, NM
NPI
1356825186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
ROBERTA RODRIGUEZ
15136 ST HWY 75
PENASCO, NM 87553
Phone number: 575-587-2809
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Mailing Address
ROBERTA RODRIGUEZ
PO BOX 158
ESPANOLA, NM 87532-0158
Phone number: 505-753-7218
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