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1730392754
KOUASSI KONIAN
LOS ANGELES, CA
NPI
1730392754
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Professional Name
KOUASSI KONIAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
(Licence: CA 15576)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- KOUASSI KONIAN NP
450 BAUCHET ST
LOS ANGELES, CA 90012-2907
Phone number: 295-888-4569
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Mailing Address
-- KOUASSI KONIAN NP
5822 CONIFER ST
OAK PARK, CA 91377
Phone number: 818-468-5669
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