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1073105060
GRIGOR SUKIASSYAN
LOS ANGELES, CA
NPI
1073105060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NPF95016530)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
GRIGOR SUKIASSYAN
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
GRIGOR SUKIASSYAN
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number:
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