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1245461797
MARTHA BANUELOS
PALMDALE, CA
NPI
1245461797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 73-01201)
Enumeration Date
2009-07-31
Last Update Date
2009-07-31
Business Address
-- MARTHA BANUELOS
3328 ROLLINGRIDGE AVE
PALMDALE, CA 93550-1309
Phone number: 818-554-7245
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Mailing Address
-- MARTHA BANUELOS
3328 ROLLINGRIDGE AVE
PALMDALE, CA 93550-1309
Phone number: 818-554-7245
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