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1982012456
LIILIA VAN MAANEN
FARMINGTON, NM
NPI
1982012456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NM DH4120)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
-- LIILIA VAN MAANEN
2700 FARMINGTON AVE STE 1
FARMINGTON, NM 87401-4559
Phone number: 505-325-9133
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Mailing Address
-- LIILIA VAN MAANEN
1309 E 27TH ST
FARMINGTON, NM 87401-9007
Phone number: 505-258-2899
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