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1801570957
GRACE SUND
SANTA MONICA, CA
NPI
1801570957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 15855)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
GRACE SUND
1250 16TH ST
SANTA MONICA, CA 90404-1249
Phone number: 310-880-4338
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Mailing Address
GRACE SUND
3166 S SEPULVEDA BLVD UNIT 18
LOS ANGELES, CA 90034-4222
Phone number: 310-309-1223
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