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1215182613
SHELLI BLAKE
LOS ANGELES, CA
NPI
1215182613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 14938)
Enumeration Date
2008-11-26
Last Update Date
2008-11-26
Business Address
-- SHELLI BLAKE RDH
3242 W 8TH ST
LOS ANGELES, CA 90005-2176
Phone number: 213-368-9779
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Mailing Address
-- SHELLI BLAKE RDH
3242 W. 8TH STREET QUEENSCARE FAMILY CLINICS
LOS ANGELES, CA 90005
Phone number: 213-368-9779
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