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1558446575
MYRNA JOSE MEDINA
WATSONVILLE, CA
NPI
1558446575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 31482)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. MYRNA JOSE MEDINA DDS
15 PENNY LN STE 1
WATSONVILLE, CA 95076-6010
Phone number: 831-722-4635
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Mailing Address
Dr. MYRNA JOSE MEDINA DDS
15 PENNY LN STE 1
WATSONVILLE, CA 95076-6010
Phone number: 831-722-4635
Copy
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