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1356888051
TAMMY LELAVITH
CANOGA PARK, CA
NPI
1356888051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003254)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- TAMMY LELAVITH FNP
21201 VICTORY BLVD STE 154
CANOGA PARK, CA 91303-4051
Phone number: 866-445-8267
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Mailing Address
-- TAMMY LELAVITH FNP
21201 VICTORY BLVD STE 154
CANOGA PARK, CA 91303-4051
Phone number: 866-445-8267
Copy
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