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Individual

MS. EILEEN FRANCES HASKINS-MOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
4145 JIMMY DURANTE BLVD, LAS VEGAS, NV 89122-5431
(702) 521-4550
Mailing address
3074 ARVILLE ST, LAS VEGAS, NV 89102-7490
(702) 889-3763
(702) 889-3591

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10099
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10099
NEVADA STATE DENTAL HYGIENE LICENSE
NV
Enumeration date
06/11/2010
Last updated
03/05/2012
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