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1063078897
LAURA MONICA MANOSALVA VARGAS
LOS ANGELES, CA
NPI
1063078897
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Former Name
LAURA MONICA VARGAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA 56793)
Enumeration Date
2019-05-16
Last Update Date
2020-09-28
Business Address
LAURA MONICA MANOSALVA VARGAS PA-C
11301 WILSHIRE BLVD BLDG.500, NSGY SUITE 6664
LOS ANGELES, CA 90073
Phone number: 310-478-3711
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Mailing Address
LAURA MONICA MANOSALVA VARGAS PA-C
4175 W BROADWAY APT C
HAWTHORNE, CA 90250-4097
Phone number: 561-213-2902
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