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1497726194
ELISSA JOY MCRAE
CAMP PENDLETON, CA
NPI
1497726194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5924-015)
Enumeration Date
2006-01-30
Last Update Date
2007-07-08
Business Address
-- ELISSA JOY MCRAE DDS
1ST DENTAL BATALLION NDC
CAMP PENDLETON, CA 92055-5221
Phone number: 760-725-3213
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Mailing Address
-- ELISSA JOY MCRAE DDS
71620 JUANITA DR
TWENTYNINE PALMS, CA 92277
Phone number: 760-367-1323
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