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1669899985
ALICIA SUZANNE CLARK
LOS ANGELES, CA
NPI
1669899985
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Former Name
ALICIA SUZANNE PEREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 51943)
Enumeration Date
2014-03-25
Last Update Date
2015-05-21
Business Address
Mrs. ALICIA SUZANNE CLARK MPAP, PA-C
123 S ALVARADO ST
LOS ANGELES, CA 90057-2201
Phone number: 213-989-7700
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Mailing Address
Mrs. ALICIA SUZANNE CLARK MPAP, PA-C
123 S ALVARADO ST
LOS ANGELES, CA 90057-2201
Phone number: 213-989-7700
Copy
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