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1770642647
MICHELLE CHAN CAPULONG
TORRANCE, CA
NPI
1770642647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA18763)
Enumeration Date
2006-12-07
Last Update Date
2023-08-31
Business Address
Mrs. MICHELLE CHAN CAPULONG PA-C
3565 DEL AMO BLVD
TORRANCE, CA 90503-1637
Phone number: 310-214-0811
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Mailing Address
Mrs. MICHELLE CHAN CAPULONG PA-C
3565 DEL AMO BLVD
TORRANCE, CA 90503-1637
Phone number: 310-214-0811
Copy
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