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1528137809
PENSRI SMITHEDAJKUL
LOS ANGELES, CA
NPI
1528137809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 16190)
Enumeration Date
2006-11-08
Last Update Date
2018-08-03
Business Address
PENSRI SMITHEDAJKUL
2411 N BROADWAY
LOS ANGELES, CA 90031
Phone number: 323-987-2000
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Mailing Address
PENSRI SMITHEDAJKUL
6000 N FIGUEROA ST
LOS ANGELES, CA 90042-4232
Phone number: 323-254-5221
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