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1871586248
LYN M. ST. LOUIS
PENASCO, NM
NPI
1871586248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH2558)
Enumeration Date
2005-08-31
Last Update Date
2007-07-09
Business Address
Ms. LYN M. ST. LOUIS DH
HOUSE#013405 STATE RD. 75 - HCNNM PENASCO DENTAL
PENASCO, NM 87553
Phone number: 505-587-2809
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Mailing Address
Ms. LYN M. ST. LOUIS DH
111 N RAILROAD AVE P.O. BOX 158
ESPANOLA, NM 87532-2627
Phone number: 505-753-7218
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