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1366982399
ANNIE KHOMMARATH
PALMDALE, CA
NPI
1366982399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 79331)
Enumeration Date
2017-02-23
Last Update Date
2017-02-23
Business Address
-- ANNIE KHOMMARATH
1846 AMARGOSA DR
PALMDALE, CA 93551-5114
Phone number: 818-645-6069
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Mailing Address
-- ANNIE KHOMMARATH
1846 AMARGOSA DR
PALMDALE, CA 93551-5114
Phone number: 818-645-6069
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