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1407578123
MARTIN LASA
LOS ANGELES, CA
NPI
1407578123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-19
Last Update Date
2023-09-19
Business Address
MARTIN LASA
669 W 34TH ST STE 102L
LOS ANGELES, CA 90089-5129
Phone number: 866-740-6502
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Mailing Address
MARTIN LASA
1245 E WALNUT ST
PASADENA, CA 91106-1878
Phone number: 626-795-9127
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