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Individual

JACKIE ANNETTE OCHOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
179 N TUSTIN ST, ORANGE, CA 92867-7716
(714) 288-1035
(714) 288-2784
Mailing address
7001 WALKER AVE, #D, BELL, CA 90201-2942
(323) 636-6680

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
60389
CA

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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