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1003172347
TIFFANY PRUGPICHAILERS PEDIGO
LOS ANGELES, CA
NPI
1003172347
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Former Name
TIFFANY PRUGPICHAILERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A130852)
Enumeration Date
2012-04-11
Last Update Date
2016-06-07
Business Address
Dr. TIFFANY PRUGPICHAILERS PEDIGO M.D.
757 WESTWOOD PLZ B711 RRUMC
LOS ANGELES, CA 90095-7419
Phone number: 310-267-9129
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Mailing Address
Dr. TIFFANY PRUGPICHAILERS PEDIGO M.D.
757 WESTWOOD PLZ B711 RRUMC
LOS ANGELES, CA 90095-7419
Phone number: 310-267-9129
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