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1275089807
JAQUELINE MENDOZA
FT. BLISS, TX
NPI
1275089807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: TX 35054)
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
Ms. JAQUELINE MENDOZA
11334 SSG SIMS
FT. BLISS, TX 79908
Phone number: 915-301-4590
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Mailing Address
Ms. JAQUELINE MENDOZA
336 RALPH ST
CHAPARRAL, NM 88081-7559
Phone number: 915-301-4590
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