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1104194299
MICHELLE DOMINIQUE DE SANTO
ALHAMBRA, CA
NPI
1104194299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA 20A12005)
Enumeration Date
2011-12-05
Last Update Date
2021-12-27
Business Address
-- MICHELLE DOMINIQUE DE SANTO D.O.
1001 S GARFIELD AVE
ALHAMBRA, CA 91801-4772
Phone number: 818-788-4513
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Mailing Address
-- MICHELLE DOMINIQUE DE SANTO D.O.
1001 S GARFIELD AVE
ALHAMBRA, CA 91801-4772
Phone number:
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