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1053604462
KATHERINE KANE SUTLIVE
LOS ANGELES, CA
NPI
1053604462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP19625)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- KATHERINE KANE SUTLIVE RN, MSN, FNP-BC
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-268-3295
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Mailing Address
-- KATHERINE KANE SUTLIVE RN, MSN, FNP-BC
4121 RADFORD AVE APT 216
STUDIO CITY, CA 91604-2178
Phone number: 912-844-2772
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