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1477839330
PHYLLIS DIANNE LEWIS
LOS ANGELES, CA
NPI
1477839330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA HAP 142)
Enumeration Date
2011-10-24
Last Update Date
2011-10-24
Business Address
-- PHYLLIS DIANNE LEWIS RDHAP
5635 S VERDUN AVE
LOS ANGELES, CA 90043-2123
Phone number: 310-916-2291
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Mailing Address
-- PHYLLIS DIANNE LEWIS RDHAP
5635 S VERDUN AVE
LOS ANGELES, CA 90043-2123
Phone number: 310-916-2291
Copy
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