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1588739775
LISA DEVALDER
BROCKPORT, NY
NPI
1588739775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 024262-1)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Ms. LISA DEVALDER RDH
300 WEST AVE
BROCKPORT, NY 14420-1118
Phone number: 585-637-3905
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Mailing Address
Ms. LISA DEVALDER RDH
300 WEST AVE
BROCKPORT, NY 14420-1118
Phone number: 585-637-3905
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