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1821488982
SAMANTHA THOMPSON
PUEBLO, CO
NPI
1821488982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 905515)
Enumeration Date
2015-01-28
Last Update Date
2015-01-28
Business Address
-- SAMANTHA THOMPSON RDH
1630 FORTINO BLVD
PUEBLO, CO 81008-1856
Phone number: 719-545-2468
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Mailing Address
-- SAMANTHA THOMPSON RDH
120 DOTSON AVE
PUEBLO, CO 81005-1215
Phone number: 719-251-5183
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