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1023653052
EKATERINA A FEDOSEEVA
SAN DIEGO, CA
NPI
1023653052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2019-11-13
Last Update Date
2019-11-13
Business Address
EKATERINA A FEDOSEEVA
7011 LINDA VISTA RD
SAN DIEGO, CA 92111-6307
Phone number: 858-810-8729
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Mailing Address
EKATERINA A FEDOSEEVA
7011 LINDA VISTA RD
SAN DIEGO, CA 92111-6307
Phone number: 858-810-8729
Copy
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