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1316284151
JOAN EASTLACK
LONG BEACH, CA
NPI
1316284151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 14906)
Enumeration Date
2013-01-14
Last Update Date
2013-01-14
Business Address
-- JOAN EASTLACK P.A.
432 PANAMA AVE
LONG BEACH, CA 90814-1909
Phone number: 562-961-3831
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Mailing Address
-- JOAN EASTLACK P.A.
432 PANAMA AVE
LONG BEACH, CA 90814-1909
Phone number: 562-961-3831
Copy
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