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1295766384
PREMWADEE K CHANTRA
LOS ANGELES, CA
NPI
1295766384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A30579)
Enumeration Date
2006-07-06
Last Update Date
2008-10-09
Business Address
-- PREMWADEE K CHANTRA MD
10833 LE CONTE AVE
LOS ANGELES, CA 90095-3075
Phone number: 310-825-4721
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Mailing Address
-- PREMWADEE K CHANTRA MD
5767 W. CENTURY BLVD
LOS ANGELES, CA 90094-3075
Phone number:
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