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1376857771
AUDREY LEE WINGO
SEASIDE, CA
NPI
1376857771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 59475)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
Ms. AUDREY LEE WINGO
1513 FREMONT BLVD # E-2
SEASIDE, CA 93955-4319
Phone number: 831-324-4492
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Mailing Address
Ms. AUDREY LEE WINGO
6484 COOPER ST
FELTON, CA 95018-9402
Phone number:
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