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1730254996
HAYDEE RUDHOLM
LOS ANGELES, CA
NPI
1730254996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 13119)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
Mrs. HAYDEE RUDHOLM PA
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6146
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Mailing Address
Mrs. HAYDEE RUDHOLM PA
5935 PLAYA VISTA DR APT 102
PLAYA VISTA, CA 90094-2131
Phone number: 323-841-0955
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