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1821043423
DOMINIQUE LUCIENNE MALL
MISSION HILLS, CA
NPI
1821043423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: CA A86680)
Enumeration Date
2006-05-23
Last Update Date
2012-07-17
Business Address
-- DOMINIQUE LUCIENNE MALL MD.
11211 SEPULVEDA BLVD
MISSION HILLS, CA 91345-1115
Phone number: 818-365-9531
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Mailing Address
-- DOMINIQUE LUCIENNE MALL MD.
PO BOX 9602
MISSION HILLS, CA 91346-9602
Phone number: 818-837-5637
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