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1053668046
KARISSA LYNN HODGES
LOS ANGELES, CA
NPI
1053668046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22318)
Enumeration Date
2012-08-08
Last Update Date
2012-11-28
Business Address
Miss KARISSA LYNN HODGES PA-C
4650 W SUNSET BLVD MS #102
LOS ANGELES, CA 90027-6062
Phone number: 323-361-2169
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Mailing Address
Miss KARISSA LYNN HODGES PA-C
6430 W SUNSET BLVD SUITE 600
LOS ANGELES, CA 90028-7900
Phone number: 323-361-2337
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