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1194197327
MELISSA JANE MADDOX
FORT IRWIN, CA
NPI
1194197327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 28438)
Enumeration Date
2015-10-27
Last Update Date
2022-05-17
Business Address
MELISSA JANE MADDOX RDH
171 INNER LOOP RD
FORT IRWIN, CA 92310
Phone number: 999-999-9999
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Mailing Address
MELISSA JANE MADDOX RDH
171 INNER LOOP RD
FORT IRWIN, CA 92310
Phone number:
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