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1083790489
LUPE TARANGO PORTUGAL
LOS ANGELES, CA
NPI
1083790489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA pa10632)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Ms. LUPE TARANGO PORTUGAL PA
317 S LA VERNE AVE
LOS ANGELES, CA 90022-1932
Phone number: 323-496-3303
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Mailing Address
Ms. LUPE TARANGO PORTUGAL PA
317 S LA VERNE AVE
LOS ANGELES, CA 90022-1932
Phone number: 323-496-3303
Copy
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