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1801015938
DARRYL MAYO
LOS ANGELES, CA
NPI
1801015938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA12798)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Mr. DARRYL MAYO PAC
849 W 34TH ST
LOS ANGELES, CA 90089-0079
Phone number: 213-740-9355
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Mailing Address
Mr. DARRYL MAYO PAC
5915 DAMASK AVE
LOS ANGELES, CA 90056-1726
Phone number: 323-240-1059
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