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1760553457
BERNADETTE THERESA CLOSE
CORONA, CA
NPI
1760553457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: CA 1223D0001X)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Ms. BERNADETTE THERESA CLOSE
10244 ICEFIELD CT
CORONA, CA 92883-9265
Phone number: 951-255-1142
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Mailing Address
Ms. BERNADETTE THERESA CLOSE
10244 ICEFIELD CT
CORONA, CA 92883-9265
Phone number: 951-255-1142
Copy
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