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1558030395
STACY M BRANTHOOVER
CLAYTON, IN
NPI
1558030395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IN 13006296A)
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
Mrs. STACY M BRANTHOOVER LDH
195 W COUNTY ROAD 600 S
CLAYTON, IN 46118-9295
Phone number: 317-777-0142
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Mailing Address
Mrs. STACY M BRANTHOOVER LDH
195 W COUNTY ROAD 600 S
CLAYTON, IN 46118-9295
Phone number:
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