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1952650210
TARA LEE M LACHICA
RANCHO CUCAMONGA, CA
NPI
1952650210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA RDHAP 398)
Enumeration Date
2012-09-02
Last Update Date
2012-09-02
Business Address
Miss TARA LEE M LACHICA RDHAP
12654 NOTTINGHAM DR
RANCHO CUCAMONGA, CA 91739-9168
Phone number: 909-525-2375
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Mailing Address
Miss TARA LEE M LACHICA RDHAP
15413 ELM LN
CHINO HILLS, CA 91709-2929
Phone number: 909-525-2375
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