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1225400146
PAVEENA RUNGRUANGBANGCHAN
ALHAMBRA, CA
NPI
1225400146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 2014036857)
Enumeration Date
2015-10-30
Last Update Date
2015-10-30
Business Address
-- PAVEENA RUNGRUANGBANGCHAN N.P.
330 S GARFIELD AVE STE 268
ALHAMBRA, CA 91801-3892
Phone number: 626-696-5156
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Mailing Address
-- PAVEENA RUNGRUANGBANGCHAN N.P.
8705 DAINES DR
SAN GABRIEL, CA 91776-2133
Phone number: 626-696-5156
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