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1548795743
MICHAEL LERTPAISAN
CULVER CITY, CA
NPI
1548795743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- MICHAEL LERTPAISAN
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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Mailing Address
-- MICHAEL LERTPAISAN
9808 VENICE BLVD STE 505
CULVER CITY, CA 90232-6818
Phone number: 310-945-3350
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