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1588187199
KANITHA LUCKANAVANICH
LOS ANGELES, CA
NPI
1588187199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 476462)
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
KANITHA LUCKANAVANICH
2010 ZONAL AVE
LOS ANGELES, CA 90033-1026
Phone number: 323-409-6538
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Mailing Address
KANITHA LUCKANAVANICH
2010 ZONAL AVE
LOS ANGELES, CA 90033-1026
Phone number: 323-409-6538
Copy
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