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1003360629
OLGA IVASHEVA
BEALE AFB, CA
NPI
1003360629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CO DEN.00202913)
Enumeration Date
2016-08-11
Last Update Date
2022-07-21
Business Address
OLGA IVASHEVA D.D.S.
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1907
Phone number: 530-634-4781
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Mailing Address
OLGA IVASHEVA D.D.S.
15301 WARREN SHINGLE RD
BEALE AFB, CA 95903-1907
Phone number: 530-634-4781
Copy
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