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1891712881
TERESA LYNN LATHAM
HUNTINGTON BEACH, CA
NPI
1891712881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA 14774)
Enumeration Date
2006-07-16
Last Update Date
2011-04-15
Business Address
Ms. TERESA LYNN LATHAM PA-C
18811 HUNTINGTON ST STE 130
HUNTINGTON BEACH, CA 92648-6003
Phone number: 714-596-1105
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Mailing Address
Ms. TERESA LYNN LATHAM PA-C
18811 HUNTINGTON ST STE 130
HUNTINGTON BEACH, CA 92648-6003
Phone number: 714-596-1105
Copy
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