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1730670639
KATHLEEN MCMANNES
GARY, IN
NPI
1730670639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IN 13007475A)
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
KATHLEEN MCMANNES LDH
4629 MELTON RD
GARY, IN 46403-2866
Phone number: 219-938-2637
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Mailing Address
KATHLEEN MCMANNES LDH
1267 W 95TH PL
CROWN POINT, IN 46307-2276
Phone number: 219-628-5295
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