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1720033558
SUZANNE IERNA
MIDDLETOWN, CT
NPI
1720033558
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Former Name
SUZANNE SHOLLY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CT 004166)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
SUZANNE IERNA RDH
635 MAIN ST
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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Mailing Address
SUZANNE IERNA RDH
635 MAIN ST ATTN: CREDENTIALING DEPARTMENT
MIDDLETOWN, CT 06457-2718
Phone number: 860-347-6971
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