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1881213379
IVY BURGE
SANTA ROSA, CA
NPI
1881213379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA RDA92988)
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
IVY BURGE RDA
2798 YULUPA AVE STE 3
SANTA ROSA, CA 95405-8570
Phone number: 707-542-7299
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Mailing Address
IVY BURGE RDA
5220 FULTON RD APT 6
SANTA ROSA, CA 95403-1242
Phone number: 707-889-4306
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