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1255829198
KAITLYN MICHELLE WILSON
FRESNO, CA
NPI
1255829198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA RA86061)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
KAITLYN MICHELLE WILSON DA
6323 N FRESNO ST STE 101
FRESNO, CA 93710-5282
Phone number: 559-439-2307
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Mailing Address
KAITLYN MICHELLE WILSON DA
6323 N FRESNO ST STE 101
FRESNO, CA 93710-5282
Phone number: 559-439-2307
Copy
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