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1255035820
JOSEPHINE COLVIN
ENCINITAS, CA
NPI
1255035820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: CA 29762)
Enumeration Date
2023-03-28
Last Update Date
2023-03-28
Business Address
JOSEPHINE COLVIN RDHAP
848 2ND ST
ENCINITAS, CA 92024-4408
Phone number: 702-355-1021
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Mailing Address
JOSEPHINE COLVIN RDHAP
804 REGAL RD APT 5L
ENCINITAS, CA 92024-4630
Phone number: 702-355-1021
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