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1366944290
BREANNA NICHOLE BODTORF
LEWISTOWN, PA
NPI
1366944290
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Former Name
BREANNA NICHOLE CLINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: PA DH073123)
Enumeration Date
2018-03-07
Last Update Date
2021-06-08
Business Address
BREANNA NICHOLE BODTORF RDH
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044-8604
Phone number: 717-248-9900
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Mailing Address
BREANNA NICHOLE BODTORF RDH
100 SHENANGO AVE
SHARON, PA 16146-1503
Phone number: 717-248-9900
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