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1396055240
ELAINE LA
IRVINE, CA
NPI
1396055240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA20945)
Enumeration Date
2010-10-13
Last Update Date
2017-02-21
Business Address
-- ELAINE LA Physician Assistant
2 ADA STE 100
IRVINE, CA 92618-5324
Phone number: 949-923-3250
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Mailing Address
-- ELAINE LA Physician Assistant
11 TECHNOLOGY DR
IRVINE, CA 92618-2302
Phone number: 949-923-3250
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