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1578820965
ENEDELIA LUCIO
DETROIT, MI
NPI
1578820965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902009780)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
ENEDELIA LUCIO RDH
5716 MICHIGAN AVE
DETROIT, MI 48210-3039
Phone number: 313-554-3880
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Mailing Address
ENEDELIA LUCIO RDH
559 W GRAND BLVD
DETROIT, MI 48216-2200
Phone number: 313-228-0217
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