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Individual
MS. KELLEY SUZANNE LYBRAND
Active
Individual
MS. KELLEY SUZANNE LYBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7629
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DID19.ID
SC
Other
Enumeration date
10/23/2006
Last updated
01/15/2020
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