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1780329938
LYDIA TAREK GHABOUR
LOMA LINDA, CA
NPI
1780329938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA62139)
Enumeration Date
2022-05-02
Last Update Date
2024-03-23
Business Address
LYDIA TAREK GHABOUR PA
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354-3130
Phone number: 909-558-6600
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Mailing Address
LYDIA TAREK GHABOUR PA
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-6600
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