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1437386117
LARK G ELLIOTT
PARK CITY, UT
NPI
1437386117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: UT 4751658-9920)
Enumeration Date
2009-06-19
Last Update Date
2009-06-19
Business Address
-- LARK G ELLIOTT
1729 SIDEWINDER DR STE 102
PARK CITY, UT 84060-7322
Phone number: 435-649-9492
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Mailing Address
-- LARK G ELLIOTT
1729 SIDEWINDER DR STE 102
PARK CITY, UT 84060-7322
Phone number: 435-649-9492
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