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1144864240
KAVISHA NAYOMALY CARRILLO
LOS ANGELES, CA
NPI
1144864240
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Other Name
KAVISHA NAYOMALY ABEYASEKERA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59390)
Enumeration Date
2019-10-31
Last Update Date
2024-10-27
Business Address
KAVISHA NAYOMALY CARRILLO PA
1510 SAN PABLO ST
LOS ANGELES, CA 90033-5320
Phone number: 626-457-6601
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Mailing Address
KAVISHA NAYOMALY CARRILLO PA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 626-457-6601
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