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1609832385
ANNIE KANCHANASUWAN
PASADENA, CA
NPI
1609832385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 15980)
Enumeration Date
2006-04-22
Last Update Date
2008-01-30
Business Address
Ms. ANNIE KANCHANASUWAN RN, GNP, GCNS-BC
988 S FAIR OAKS AVE
PASADENA, CA 91105-2626
Phone number: 626-799-4193
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Mailing Address
Ms. ANNIE KANCHANASUWAN RN, GNP, GCNS-BC
3731 REVERE AVE
LOS ANGELES, CA 90039-1818
Phone number: 323-662-3007
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