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1912036013
ELLEN FAYE CAMPOMANES ALPANO
POLACCA, AZ
NPI
1912036013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 13745)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. ELLEN FAYE CAMPOMANES ALPANO DDS
HIGHWAY 264 MILEPOST 388
POLACCA, AZ 86042
Phone number: 928-737-6167
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Mailing Address
Dr. ELLEN FAYE CAMPOMANES ALPANO DDS
PO BOX 4000
POLACCA, AZ 86042-4000
Phone number: 928-737-6162
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