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1124057831
CHUTIMA NINGSOMBOON
GRANADA HILLS, CA
NPI
1124057831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17271)
Enumeration Date
2006-07-03
Last Update Date
2007-12-03
Business Address
-- CHUTIMA NINGSOMBOON PAC
10316 WOODLEY AVE
GRANADA HILLS, CA 91344-6916
Phone number: 818-368-5651
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Mailing Address
-- CHUTIMA NINGSOMBOON PAC
10316 WOODLEY AVE
GRANADA HILLS, CA 91344-6916
Phone number: 818-368-5651
Copy
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