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1790179257
SANDRA MICHELLE OTERO
RUSHVILLE, NY
NPI
1790179257
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Former Name
SANDRA MICHELLE PEACOCK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NY 021460)
Enumeration Date
2015-03-23
Last Update Date
2015-03-23
Business Address
Mrs. SANDRA MICHELLE OTERO R.D.H
2 RUBIN DR
RUSHVILLE, NY 14544-9681
Phone number: 585-554-4400
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Mailing Address
Mrs. SANDRA MICHELLE OTERO R.D.H
2 RUBIN DR
RUSHVILLE, NY 14544-9681
Phone number: 585-554-4400
Copy
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