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1720761208
CALLUM LAVOIE
LOS ANGELES, CA
NPI
1720761208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CA A188417)
Additional Taxonomies
2088P0231X
(Licence: CA A188417)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
CALLUM LAVOIE
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 780-717-2622
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Mailing Address
CALLUM LAVOIE
1137 N CENTRAL AVE APT 1520
GLENDALE, CA 91202-3683
Phone number:
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