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1164943809
TRISHA JANE DOUGLASS
LANCASTER, CA
NPI
1164943809
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Former Name
TRISHA JANE SMILIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 73314)
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
TRISHA JANE DOUGLASS RDA
44558 10TH ST W
LANCASTER, CA 93534-3333
Phone number: 661-723-1111
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Mailing Address
TRISHA JANE DOUGLASS RDA
45465 25TH ST E SPC 196
LANCASTER, CA 93535-2394
Phone number: 661-390-2737
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