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1629835467
LAURIE JIMENEZ
NEW HAVEN, CT
NPI
1629835467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: VA 0402207265)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
LAURIE JIMENEZ RDH
900 CHAPEL ST APT RC245
NEW HAVEN, CT 06510-2822
Phone number: 703-944-0637
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Mailing Address
LAURIE JIMENEZ RDH
206 ELM ST # 4719
NEW HAVEN, CT 06520-9251
Phone number: 703-944-0637
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