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1861155202
AMANDA VILLA
CAMP LEJEUNE, NC
NPI
1861155202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NC 12599)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
AMANDA VILLA
2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542
Phone number: 910-451-2208
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Mailing Address
AMANDA VILLA
2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD
CAMP LEJEUNE, NC 28542
Phone number:
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