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1669605325
LANA T INGALLS
MACHIASPORT, ME
NPI
1669605325
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME IPH72)
Enumeration Date
2009-08-28
Last Update Date
2014-06-13
Business Address
-- LANA T INGALLS IPDH
1166 PORT ROAD
MACHIASPORT, ME 04655
Phone number: 207-259-1129
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Mailing Address
-- LANA T INGALLS IPDH
PO BOX 34
MACHIASPORT, ME 04655-0034
Phone number: 207-259-1129
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