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1801229356
LARA CONOVALOFF
HOLLYWOOD, CA
NPI
1801229356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 23167)
Enumeration Date
2013-08-19
Last Update Date
2014-04-11
Business Address
-- LARA CONOVALOFF PA-C
6430 SELMA AVE
HOLLYWOOD, CA 90028-7311
Phone number: 323-848-4522
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Mailing Address
-- LARA CONOVALOFF PA-C
6430 SELMA AVE
HOLLYWOOD, CA 90028-7311
Phone number:
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