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1639108327
LARA A MANCHIK
MISSION VIEJO, CA
NPI
1639108327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15955)
Enumeration Date
2006-07-03
Last Update Date
2008-02-18
Business Address
-- LARA A MANCHIK P.A.C.
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691-6426
Phone number: 949-364-1400
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Mailing Address
-- LARA A MANCHIK P.A.C.
6133 RESIDENCIA
NEWPORT BEACH, CA 92660-9048
Phone number: 949-706-9414
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