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1669014866
CHANNE BUNTHUNG
EL SEGUNDO, CA
NPI
1669014866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95012449)
Enumeration Date
2019-10-09
Last Update Date
2021-11-30
Business Address
CHANNE BUNTHUNG FNP-C
390 N PACIFIC COAST HWY
EL SEGUNDO, CA 90245-4475
Phone number: 562-606-9165
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Mailing Address
CHANNE BUNTHUNG FNP-C
500 AVENUE G APT 3
REDONDO BEACH, CA 90277-6006
Phone number: 562-606-9165
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