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1336898261
WASIN LUCKANAVANICH
LONG BEACH, CA
NPI
1336898261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 95001717)
Enumeration Date
2022-03-19
Last Update Date
2024-07-24
Business Address
WASIN LUCKANAVANICH DNP, CRNA
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-825-8000
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Mailing Address
WASIN LUCKANAVANICH DNP, CRNA
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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