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1932349966
KANDYCE LYNZE GREEN
EVERGREEN PARK, IL
NPI
1932349966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020.012293)
Enumeration Date
2009-03-04
Last Update Date
2009-03-04
Business Address
KANDYCE LYNZE GREEN R.D.H
2803 W 95TH ST
EVERGREEN PARK, IL 60805-2702
Phone number: 708-425-1134
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Mailing Address
KANDYCE LYNZE GREEN R.D.H
2803 W 95TH ST
EVERGREEN PARK, IL 60805-2702
Phone number: 708-425-1134
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