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1053614404
SELENA ANNE LANTRY, M.D., INC
GLENDALE, CA
NPI
1053614404
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Entity Type
Organization
Authorized Contact
SELENA ANNE LANTRY
President
818-247-2164
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G55968)
Enumeration Date
2010-12-07
Last Update Date
2010-12-07
Business Address
SELENA ANNE LANTRY, M.D., INC
1505 WILSON TER STE 130
GLENDALE, CA 91206-4074
Phone number: 818-247-2164
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Mailing Address
SELENA ANNE LANTRY, M.D., INC
1505 WILSON TER STE 130
GLENDALE, CA 91206-4074
Phone number:
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