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1942318225
AMBER LAURA CORNELLA
PUEBLO, CO
NPI
1942318225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 903891)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
-- AMBER LAURA CORNELLA RDH
125 BROADWAY AVE
PUEBLO, CO 81004
Phone number: 719-404-0087
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Mailing Address
-- AMBER LAURA CORNELLA RDH
1027 W 17TH ST
PUEBLO, CO 81003
Phone number: 719-404-0393
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