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MARSHA LARRABEE RDHAP

>> Dental Hygienist >> Dental Providers

Registrant NPI Number: 1205972866

Individual Registrant:
 MARSHA  LARRABEE RDHAP
Gender: F
Sole Proprietor

Location and contact information for practice:
1757 SIERRA PARKWAY  CAMP CONNELL, CA 95223-4365 US
Tel: 209-795-9943  Fax: --

Contact information for business:
1757 SIERRA PARKWAY P.O. BOX 4365 CAMP CONNELL, CA 95223-4365 US
Tel: 209-795-9943  Fax: --

Registration Information:
NPI: 1205972866
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
CAHAP76

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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