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1699932715
SANDRA A WHALEN
LACKAWANNA, NY
NPI
1699932715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Additional Taxonomies
126800000X Dental Assistant
(Licence: NY 000706)
Enumeration Date
2008-05-16
Last Update Date
2008-05-16
Business Address
Ms. SANDRA A WHALEN cda-rda
790 RIDGE RD
LACKAWANNA, NY 14218-1629
Phone number: 716-828-9334
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Mailing Address
Ms. SANDRA A WHALEN cda-rda
39 N SHORE DR
BLASDELL, NY 14219-2310
Phone number:
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