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1154148997
ELITE WOUND SPECIALIST PC
VAN NUYS, CA
NPI
1154148997
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Entity Type
Organization
Authorized Contact
SHIMA PEZESHKI
Shareholder
310-500-9068
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
ELITE WOUND SPECIALIST PC
14553 DELANO ST STE 306
VAN NUYS, CA 91411-2858
Phone number: 310-621-9038
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Mailing Address
ELITE WOUND SPECIALIST PC
14553 DELANO ST STE 306
VAN NUYS, CA 91411-2858
Phone number: 310-621-9038
Copy
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