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1417383779
DEANNA M SOTO
FORT IRWIN, CA
NPI
1417383779
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Former Name
DEANNA M PEREA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA RDH 24536)
Enumeration Date
2013-09-18
Last Update Date
2013-09-18
Business Address
-- DEANNA M SOTO RDH
171 4TH AND INNER LOOP RD
FORT IRWIN, CA 92310
Phone number: 719-526-5537
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Mailing Address
-- DEANNA M SOTO RDH
171 4TH AND INNER LOOP RD
FORT IRWIN, CA 92310
Phone number: 719-526-5537
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