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1053488809
KATHLEEN MAHAN
LOS ANGELES, CA
NPI
1053488809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP14735)
Enumeration Date
2006-11-29
Last Update Date
2012-12-28
Business Address
KATHLEEN MAHAN NP
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3245
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Mailing Address
KATHLEEN MAHAN NP
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3245
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