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1184095911
DEBORAH SONG
LOS ANGELES, CA
NPI
1184095911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95003112)
Enumeration Date
2015-10-20
Last Update Date
2017-03-13
Business Address
-- DEBORAH SONG CPNP
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
-- DEBORAH SONG CPNP
15811 ROSALITA DR
LA MIRADA, CA 90638-4133
Phone number: 626-758-2920
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