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1760799456
BETSY LYNN SOUTHERN
JACKSON, MI
NPI
1760799456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902011118)
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
Ms. BETSY LYNN SOUTHERN RDH
7040 MCKAY RD
JACKSON, MI 49201-9261
Phone number: 517-740-5620
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Mailing Address
Ms. BETSY LYNN SOUTHERN RDH
7040 MCKAY RD
JACKSON, MI 49201-9261
Phone number: 517-740-5620
Copy
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