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1770251761
JACQUELYN VASANTACHAT
LOS ANGELES, CA
NPI
1770251761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
JACQUELYN VASANTACHAT
1150 S OLIVE ST STE 1400
LOS ANGELES, CA 90015-2871
Phone number: 213-821-5977
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Mailing Address
JACQUELYN VASANTACHAT
1150 S OLIVE ST STE 1400
LOS ANGELES, CA 90015-2871
Phone number: 213-821-5977
Copy
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