TERRY SUSETTE PATRICK

FORT BENNING, GA
NPI1760929525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.010280)
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
Mrs. TERRY SUSETTE PATRICK RDH
199 8TH DIVISION RD. SALOMON DENTAL CLINIC
FORT BENNING, GA 31905-7077
Phone number: 706-617-6851
Mailing Address
Mrs. TERRY SUSETTE PATRICK RDH
5264 10TH ARMORED LOOP
FPO, AP 31905-7077
Phone number: 773-209-4832
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