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1407961089
LEA MANOSOV
MODESTO, CA
NPI
1407961089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 48326)
Enumeration Date
2006-08-21
Last Update Date
2021-01-13
Business Address
Dr. LEA MANOSOV DDS
2020 COFFEE RD STE E
MODESTO, CA 95385-2421
Phone number: 209-571-9855
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Mailing Address
Dr. LEA MANOSOV DDS
2020 COFFEE RD STE E
MODESTO, CA 95385-2421
Phone number: 209-571-9855
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