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1194180646
KASIANI GOUNTOUMAS
SANTA MONICA, CA
NPI
1194180646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 15137)
Enumeration Date
2015-12-29
Last Update Date
2015-12-29
Business Address
-- KASIANI GOUNTOUMAS
1900 PICO BLVD
SANTA MONICA, CA 90405-1628
Phone number: 310-434-4262
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Mailing Address
-- KASIANI GOUNTOUMAS
8421 CARLTON WAY
LOS ANGELES, CA 90069
Phone number: 310-648-4802
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