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1194479436
LEANNE BOUSMAIL
LOS ANGELES, CA
NPI
1194479436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
LEANNE BOUSMAIL
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
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Mailing Address
LEANNE BOUSMAIL
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
Copy
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