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1184822066
SKULPAN ASAVASOPON
LOS ANGELES, CA
NPI
1184822066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT24635)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- SKULPAN ASAVASOPON PT
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
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Mailing Address
-- SKULPAN ASAVASOPON PT
393 E WALNUT ST 3RD FLOOR - PHR SYSTEMS
PASADENA, CA 91188-0001
Phone number: 626-405-7914
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