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1578705208
ANDREA STAACK
LOS ANGELES, CA
NPI
1578705208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CA F5519)
Enumeration Date
2009-03-26
Last Update Date
2010-05-26
Business Address
-- ANDREA STAACK M.D.
200 MEDICAL PLZ SUITE #140
LOS ANGELES, CA 90095-0001
Phone number: 310-794-7700
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Mailing Address
-- ANDREA STAACK M.D.
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-794-7700
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