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1407207905
LESLIE VAN LA
LOS ANGELES, CA
NPI
1407207905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 53552)
Enumeration Date
2016-06-27
Last Update Date
2017-01-10
Business Address
-- LESLIE VAN LA
1441 EASTLAKE AVE SUITE 7416
LOS ANGELES, CA 90089-9178
Phone number: 323-865-3700
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Mailing Address
-- LESLIE VAN LA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3700
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