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1538366091
SUWANNA SUETHANUWONG
LOS ANGELES, CA
NPI
1538366091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA RN376217)
Enumeration Date
2007-06-28
Last Update Date
2007-07-08
Business Address
-- SUWANNA SUETHANUWONG
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 310-668-4506
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Mailing Address
-- SUWANNA SUETHANUWONG
7911 WILLOW LN
LA PALMA, CA 90623-1662
Phone number:
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