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1821281411
MARIE EYSSALLENNE
LOS ANGELES, CA
NPI
1821281411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA11819)
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
-- MARIE EYSSALLENNE
1640 MARENGO ST 300
LOS ANGELES, CA 90033-1036
Phone number: 323-226-2200
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Mailing Address
-- MARIE EYSSALLENNE
1640 MARENGO ST 300
LOS ANGELES, CA 90033-1036
Phone number:
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