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1326174897
KAREN THEOPHILE
LOS ANGELES, CA
NPI
1326174897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA13348)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Ms. KAREN THEOPHILE PA
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4515
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Mailing Address
Ms. KAREN THEOPHILE PA
309 E 19TH ST
COSTA MESA, CA 92627-2348
Phone number:
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