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1649480377
TARA LYNN HUMPHREY
LOS ANGELES, CA
NPI
1649480377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA 20A10759)
Enumeration Date
2007-05-23
Last Update Date
2023-11-27
Business Address
TARA LYNN HUMPHREY D.O.
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 323-442-7400
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Mailing Address
TARA LYNN HUMPHREY D.O.
P.O. BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-7400
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