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1174760789
GRACE CAMPOS
LOS ANGELES, CA
NPI
1174760789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 15919)
Enumeration Date
2009-01-20
Last Update Date
2009-01-20
Business Address
GRACE CAMPOS RDA
1607 PENNSYLVANIA AVE
LOS ANGELES, CA 90033-2403
Phone number: 323-369-5453
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Mailing Address
GRACE CAMPOS RDA
1607 PENNSYLVANIA AVE
LOS ANGELES, CA 90033-2403
Phone number: 323-369-5453
Copy
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