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Individual
CORRINA LYNN CADZOW
Active
Individual
CORRINA LYNN CADZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
11-070-DHAT
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
11-070-DHAT
AK
247200000X
Other Technician
11-070-DHAT
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11-070-DHAT
—
AK
Enumeration date
11/29/2011
Last updated
03/01/2012
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