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Organization
TERRY DUST
Active
Organization
TERRY DUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY ROBINSON COSMETOLOGIST (PRESIDENT)
(949) 302-0219
Entity
Organization
Contact information
Practice address
8464 RENWICK DR, CORONA, CA 92883-5699
(951) 603-0365
(951) 603-0365
Mailing address
8464 RENWICK DR, CORONA, CA 92883-5699
(951) 603-0365
(951) 603-0365
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
KK322794
CA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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