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1396111993
SERGIO MACHADO
SOUTH GATE, CA
NPI
1396111993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 58435)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- SERGIO MACHADO
4149 TWEEDY BLVD SUITE J
SOUTH GATE, CA 90280-6167
Phone number: 323-807-7404
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Mailing Address
-- SERGIO MACHADO
8442 SAN LUIS SVE
SOUTH GATE, CA 90280
Phone number: 333-807-7404
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