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1811947906
AVETIS KHACHIKIAN
GLENDALE, CA
NPI
1811947906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14777)
Enumeration Date
2006-05-11
Last Update Date
2007-07-09
Business Address
Mr. AVETIS KHACHIKIAN P.A.
801 S CHEVY CHASE DR #105
GLENDALE, CA 91205-4431
Phone number: 818-242-5299
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Mailing Address
Mr. AVETIS KHACHIKIAN P.A.
801 S CHEVY CHASE DR
GLENDALE, CA 91205-4432
Phone number: 818-242-5299
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