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1093009359
CHARLES SANGMOAH
HUNTINGTON PARK, CA
NPI
1093009359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 21348)
Enumeration Date
2011-06-04
Last Update Date
2016-04-01
Business Address
-- CHARLES SANGMOAH
2635 WALNUT ST
HUNTINGTON PARK, CA 90255
Phone number: 323-586-0740
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Mailing Address
-- CHARLES SANGMOAH
2635 WALNUT ST
HUNTINGTON PARK, CA 90255
Phone number:
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