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1548994148
TINA LILAVALINE HARRIS
LOS ANGELES, CA
NPI
1548994148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64635)
Enumeration Date
2022-07-11
Last Update Date
2024-06-25
Business Address
Miss TINA LILAVALINE HARRIS
8700 BEVERLY BLVD
LOS ANGELES, CA 90048-1804
Phone number: 310-423-8780
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Mailing Address
Miss TINA LILAVALINE HARRIS
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number:
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