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1578086195
JEFFREY PHOMMASITH
LOS ANGELES, CA
NPI
1578086195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 710651)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
JEFFREY PHOMMASITH
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number: 323-409-5220
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Mailing Address
JEFFREY PHOMMASITH
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number:
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