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1568847135
ANGELINA BANAKH
SEDALIA, MO
NPI
1568847135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MO 2015016301)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
-- ANGELINA BANAKH DH
821 WESTWOOD DR
SEDALIA, MO 65301-2102
Phone number: 660-826-4774
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Mailing Address
-- ANGELINA BANAKH DH
821 WESTWOOD DRIVE
SEDALIA, MO 65301-2102
Phone number:
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