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Individual

AIMEE VICTORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2740 HERNDON AVE, CLOVIS, CA 93611-6813
(559) 299-4264
(559) 299-1421
Mailing address
2691 CHESTNUT ST, HANFORD, CA 93230-1286
(559) 299-2578
(559) 299-1421

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26115
CA

Other

Enumeration date
05/27/2014
Last updated
05/27/2014
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