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1538541693
AMANDA MILES
KODIAK, AK
NPI
1538541693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125J00000X Dental Therapist
(Licence: AK 247200000x)
Enumeration Date
2015-06-25
Last Update Date
2015-06-25
Business Address
-- AMANDA MILES DHAT
3449 E. REZANOF DRIVE DENTAL DEPARTMENT
KODIAK, AK 99615-3449
Phone number: 907-486-9850
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Mailing Address
-- AMANDA MILES DHAT
3449 E. REZANOF DRIVE DENTAL DEPARTMENT
KODIAK, AK 99615-3449
Phone number: 907-539-6717
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