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Individual
THALIA-RAE PERRYMAN
Active
Individual
THALIA-RAE PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11463
OR
Other
Enumeration date
06/11/2015
Last updated
05/02/2024
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