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1487179743
SU MEI MAI
FORT IRWIN, CA
NPI
1487179743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 101839)
Enumeration Date
2017-08-08
Last Update Date
2021-03-18
Business Address
SU MEI MAI
3745 FREDRICKSBURG ST APT B
FORT IRWIN, CA 92310-1701
Phone number: 270-798-8751
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Mailing Address
SU MEI MAI
3745 FREDRICKSBURG ST APT B
FORT IRWIN, CA 92310-1701
Phone number: 270-798-8751
Copy
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