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1366168056
FLAVIA REGINA MACAHIBA COLLOCA
SAN MARCOS, CA
NPI
1366168056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 108044)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
FLAVIA REGINA MACAHIBA COLLOCA
1743 AVENIDA REGINA
SAN MARCOS, CA 92069-4210
Phone number: 760-916-3094
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Mailing Address
FLAVIA REGINA MACAHIBA COLLOCA
1743 AVENIDA REGINA
SAN MARCOS, CA 92069-4210
Phone number: 760-916-3094
Copy
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