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1619253655
TIERENY WITT
CLINTON, OK
NPI
1619253655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: OK 3308)
Enumeration Date
2011-10-21
Last Update Date
2011-10-21
Business Address
-- TIERENY WITT RDH
RR 1 BOX 3060
CLINTON, OK 73601-9303
Phone number: 580-331-3426
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Mailing Address
-- TIERENY WITT RDH
PO BOX 82
FOSS, OK 73647-0082
Phone number: 580-819-0399
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