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1407968712
THUC N LY
WEST COVINA, CA
NPI
1407968712
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Other Name
DAVID LY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16370)
Enumeration Date
2006-08-31
Last Update Date
2011-04-28
Business Address
-- THUC N LY PA-C
3433 FIONNA PL
WEST COVINA, CA 91792-5703
Phone number: 626-675-8169
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Mailing Address
-- THUC N LY PA-C
3433 FIONNA PL
WEST COVINA, CA 91792-5703
Phone number: 626-675-8169
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