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1386239002
LYDIA STANLEY
FORT.SILL, OK
NPI
1386239002
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Former Name
LYDIA RODRIGUEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OK 1672)
Enumeration Date
2021-03-04
Last Update Date
2022-02-10
Business Address
LYDIA STANLEY R.D.H
U.S.A DENTAL HEALTH ACTIIVITY 652 HAMILIMTON RD, HEADQUARTERS
FORT.SILL, OK 73503
Phone number: 580-442-5925
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Mailing Address
LYDIA STANLEY R.D.H
U.S.A DENTAL HEALTH ACTIIVITY 4301 WILSON ST , OFFICE GD152
FORT SILL, OK 73503
Phone number: 580-442-5925
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