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1871691600
LISELOTTE ALICE MANNION-BLACK
KENNEWICK, WA
NPI
1871691600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00007313)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mrs. LISELOTTE ALICE MANNION-BLACK DDS
8400 W GAGE BLVD
KENNEWICK, WA 99336-1075
Phone number: 509-735-9548
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Mailing Address
Mrs. LISELOTTE ALICE MANNION-BLACK DDS
8400 W GAGE BLVD
KENNEWICK, WA 99336-1075
Phone number: 509-735-9548
Copy
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