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1558587360
CAROL LYNN DAUGHERTY
LOS ANGELES, CA
NPI
1558587360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16107)
Enumeration Date
2007-04-18
Last Update Date
2021-03-30
Business Address
Ms. CAROL LYNN DAUGHERTY PA
3004 WHITTIER BLVD
LOS ANGELES, CA 90023-1637
Phone number: 323-264-0535
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Mailing Address
Ms. CAROL LYNN DAUGHERTY PA
3004 WHITTIER BLVD
LOS ANGELES, CA 90023-1637
Phone number: 323-264-0535
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