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1376916171
IVAN EGAN
MUSKEGON HEIGHTS, MI
NPI
1376916171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI L439003)
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
IVAN EGAN RDH
2700 BAKER ST
MUSKEGON HEIGHTS, MI 49444-2157
Phone number: 231-733-6765
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Mailing Address
IVAN EGAN RDH
4781 PERRY ST
HUDSONVILLE, MI 49426-7625
Phone number: 616-334-3508
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