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1861038713
ISAIAH DARIAN VASQUEZ
LYNWOOD, CA
NPI
1861038713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 93763)
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
ISAIAH DARIAN VASQUEZ RDA
9910 LONG BEACH BLVD STE A
LYNWOOD, CA 90262-1561
Phone number: 323-538-2002
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Mailing Address
ISAIAH DARIAN VASQUEZ RDA
8020 BIRCHCREST RD APT E104
DOWNEY, CA 90240-2107
Phone number: 562-565-7479
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