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1912546524
SUSAN LIEBIG
EIELSON AFB, AK
NPI
1912546524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: FL DH22300)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
SUSAN LIEBIG RDH
2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number: 907-377-6767
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Mailing Address
SUSAN LIEBIG RDH
2630 CENTRAL AVE
EIELSON AFB, AK 99702-2301
Phone number:
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