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1760258867
FARRAH R WALLIS
DENVER, CO
NPI
1760258867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO DH.002026884)
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
FARRAH R WALLIS RDH
1339 S FEDERAL BLVD
DENVER, CO 80219-4235
Phone number: 303-602-0190
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Mailing Address
FARRAH R WALLIS RDH
10229 ADIKSON DR
CORDOVA, TN 38016-0715
Phone number: 501-860-3115
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