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1194493189
YANIQUE SHANTEL CAMPBELL
LOS ANGELES, CA
NPI
1194493189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 60771)
Enumeration Date
2021-09-02
Last Update Date
2022-06-30
Business Address
YANIQUE SHANTEL CAMPBELL
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
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Mailing Address
YANIQUE SHANTEL CAMPBELL
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
Copy
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