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1720300155
BERNADETTE KOZAK
FRYEBURG, ME
NPI
1720300155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: ME RDH3183)
Enumeration Date
2010-02-26
Last Update Date
2016-12-30
Business Address
MS. BERNADETTE KOZAK IPDH
19 PORTLAND ST
FRYEBURG, ME 04037-1205
Phone number: 207-256-7606
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Mailing Address
MS. BERNADETTE KOZAK IPDH
PO BOX 523
FRYEBURG, ME 04037-0523
Phone number: 207-256-7606
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