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1356946404
STEPHANIE A AVERY
LAKE CITY, FL
NPI
1356946404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: FL DH12491)
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
STEPHANIE A AVERY RDH
1166 SW MAIN BLVD
LAKE CITY, FL 32025-5780
Phone number: 386-752-7373
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Mailing Address
STEPHANIE A AVERY RDH
1166 SW MAIN BLVD
LAKE CITY, FL 32025-5780
Phone number: 867-527-3733
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