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1740447663
JULIE A HANAVAN
LACKAWANNA, NY
NPI
1740447663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: NY 000804)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
-- JULIE A HANAVAN CDA
790 RIDGE RD
LACKAWANNA, NY 14218
Phone number: 716-828-9344
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Mailing Address
-- JULIE A HANAVAN CDA
259 EMPORIUM AVE
WEST SENECA, NY 14224
Phone number: 716-827-5635
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