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1306492053
MIRIAM CARRILLO
LONG BEACH, CA
NPI
1306492053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 81473)
Enumeration Date
2019-08-16
Last Update Date
2019-08-16
Business Address
MIRIAM CARRILLO RDA
1835 XIMENO AVE
LONG BEACH, CA 90815-2850
Phone number: 562-731-0470
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Mailing Address
MIRIAM CARRILLO RDA
12017 164TH ST
NORWALK, CA 90650-7245
Phone number: 562-500-0852
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