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1124739354
VOOTTISIN MICHAEL PISARNWONGS
PASADENA, CA
NPI
1124739354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA62297)
Enumeration Date
2022-12-08
Last Update Date
2023-06-29
Business Address
VOOTTISIN MICHAEL PISARNWONGS PA-C
10 CONGRESS ST STE 210
PASADENA, CA 91105-3027
Phone number: 626-995-4447
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Mailing Address
VOOTTISIN MICHAEL PISARNWONGS PA-C
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number:
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