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1740601509
LAUREN TATUM
COVINA, CA
NPI
1740601509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 51263)
Enumeration Date
2013-12-21
Last Update Date
2016-05-04
Business Address
Miss LAUREN TATUM P.A
420 W ROWLAND ST
COVINA, CA 91723-2943
Phone number: 626-331-6411
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Mailing Address
Miss LAUREN TATUM P.A
12942 BALTIMORE CT
CHINO, CA 91710-5937
Phone number:
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