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1568187052
ELISABETH KATHLEEN GOLTZ
IDAHO, ID
NPI
1568187052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ID dh-1771)
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
ELISABETH KATHLEEN GOLTZ
427 12TH STREET PLUMMER
IDAHO, ID 83851
Phone number: 208-686-1931
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Mailing Address
ELISABETH KATHLEEN GOLTZ
3670 WINDFALL PASS RD
PLUMMER, ID 83851-6011
Phone number: 208-661-1312
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