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1134408560
MYLENE PALENCIA FERNAN
HAWTHORNE, CA
NPI
1134408560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 38102)
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
MYLENE PALENCIA FERNAN RDA
12730 HAWTHORNE BLVD SUITE D
HAWTHORNE, CA 90250-3919
Phone number: 310-644-4000
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Mailing Address
MYLENE PALENCIA FERNAN RDA
1014 COTA AVE APT 3
TORRANCE, CA 90501-2166
Phone number: 310-291-8414
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