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1326553991
LY KOUCH
EL MONTE, CA
NPI
1326553991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 540660)
Enumeration Date
2017-12-05
Last Update Date
2017-12-05
Business Address
LY KOUCH
3540 LEXINGTON AVE
EL MONTE, CA 91731-2608
Phone number: 626-453-3700
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Mailing Address
LY KOUCH
3540 LEXINGTON AVE
EL MONTE, CA 91731-2608
Phone number: 626-453-3700
Copy
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