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1740716190
AMY RUTH VANDIVER
LOS ANGELES, CA
NPI
1740716190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A158695)
Enumeration Date
2017-05-04
Last Update Date
2023-10-02
Business Address
AMY RUTH VANDIVER
200 UCLA MEDICAL PLZ STE 450
LOS ANGELES, CA 90095-1233
Phone number: 310-825-6911
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Mailing Address
AMY RUTH VANDIVER
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707
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