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1932753647
PATRICE LUZELLE ERMITA MARA
APO, AP
NPI
1932753647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CO DEN.00204040)
Enumeration Date
2019-07-31
Last Update Date
2020-08-26
Business Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
618TH DENTAL CO CARIUS DENTAL CLINIC BLDG P3020 ATTN: CREDENTIALS OFFIC
APO, AP 96271-5245
Phone number: 315-757-9186
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Mailing Address
Dr. PATRICE LUZELLE ERMITA MARA DMD
618TH DENTAL CO CARIUS DENTAL CLINIC BLDG P3020 ATTN: CREDENTIALS OFFIC
APO, AP 96271-5245
Phone number:
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