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1003121203
YULIA KUSTOVA
LOS ANGELES, CA
NPI
1003121203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20749)
Enumeration Date
2010-08-11
Last Update Date
2023-06-15
Business Address
MRS. YULIA KUSTOVA P.A.
2121 S SAN PEDRO ST STE E
LOS ANGELES, CA 90011-1161
Phone number: 213-742-0300
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Mailing Address
MRS. YULIA KUSTOVA P.A.
7000 HAWTHORN AVE APT 304
LOS ANGELES, CA 90028-6963
Phone number: 323-350-2220
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