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1962570523
MOLLY FUNK BIRSA
BOLINGBROOK, IL
NPI
1962570523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: IL 020009572)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Mrs. MOLLY FUNK BIRSA RDH
406 W BOUGHTON SUITE B
BOLINGBROOK, IL 60440
Phone number: 630-759-8940
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Mailing Address
Mrs. MOLLY FUNK BIRSA RDH
22540 RESERVE CIRCLE
PLAINFIELD, IL 60544
Phone number: 815-254-1160
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