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1336400688
PRASRA GOMUTPUTRA OLSON
LOS ANGELES, CA
NPI
1336400688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A137798)
Enumeration Date
2012-06-04
Last Update Date
2023-03-07
Business Address
Dr. PRASRA GOMUTPUTRA OLSON M.D.
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-660-2450
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Mailing Address
Dr. PRASRA GOMUTPUTRA OLSON M.D.
3701 WILSHIRE BLVD STE 600
LOS ANGELES, CA 90010-2814
Phone number: 323-361-3550
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