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1407317449
ELLENE SANDOVAL
LOS ANGELES, CA
NPI
1407317449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A178160)
Enumeration Date
2019-03-30
Last Update Date
2023-05-20
Business Address
ELLENE SANDOVAL
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-669-2113
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Mailing Address
ELLENE SANDOVAL
14314 SEQUOIA RD
CANYON COUNTRY, CA 91387-6201
Phone number: 661-618-9320
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