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1700261682
SOHA EBNEYAMIN
SANTA MONICA, CA
NPI
1700261682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 52633)
Enumeration Date
2015-07-21
Last Update Date
2021-12-13
Business Address
-- SOHA EBNEYAMIN PA-C
1537 15TH ST APT 106
SANTA MONICA, CA 90404-3350
Phone number: 310-804-0743
Copy
Mailing Address
-- SOHA EBNEYAMIN PA-C
1537 15TH ST APT 106
SANTA MONICA, CA 90404-3350
Phone number: 310-804-0743
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