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1093891061
TIFFANY LE
COSTA MESA, CA
NPI
1093891061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 17563)
Enumeration Date
2006-10-31
Last Update Date
2021-12-06
Business Address
-- TIFFANY LE
700 W 19TH ST
COSTA MESA, CA 92627-3517
Phone number: 949-645-9334
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Mailing Address
-- TIFFANY LE
20001 N NEW BRITAIN LN
HUNTINGTON BEACH, CA 92646-4422
Phone number:
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