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1770308504
SHAUNT KORKOUNIAN
NORTHRIDGE, CA
NPI
1770308504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2024-11-18
Last Update Date
2024-12-30
Business Address
SHAUNT KORKOUNIAN PA
18250 ROSCOE BLVD STE 220
NORTHRIDGE, CA 91325-4271
Phone number: 607-274-3011
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Mailing Address
SHAUNT KORKOUNIAN PA
12489 ARBOR HILL ST
MOORPARK, CA 93021-3182
Phone number: 805-433-3792
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