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1477898989
TANEA DWAN WASHINGTON
LOS ANGELES, CA
NPI
1477898989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 18149)
Enumeration Date
2012-12-10
Last Update Date
2012-12-10
Business Address
-- TANEA DWAN WASHINGTON CPNP
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-660-2450
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Mailing Address
-- TANEA DWAN WASHINGTON CPNP
2523 YEARLING ST
LAKEWOOD, CA 90712-2829
Phone number: 323-660-2450
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