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1306918487
TRACEY LEE LYSANDER
POWAY, CA
NPI
1306918487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 32580)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
-- TRACEY LEE LYSANDER DDS
15835 POMERADO RD STE 403
POWAY, CA 92064-2043
Phone number: 858-451-8321
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Mailing Address
-- TRACEY LEE LYSANDER DDS
15835 POMERADO RD STE 403
POWAY, CA 92064-2043
Phone number: 858-451-8321
Copy
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