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1902924814
ASTRID SIDARTA
BURBANK, CA
NPI
1902924814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16137)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mrs. ASTRID SIDARTA PA-C
2601 W ALAMEDA AVE SUITE 101
BURBANK, CA 91505-4800
Phone number: 818-295-6944
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Mailing Address
Mrs. ASTRID SIDARTA PA-C
2601 W ALAMEDA AVE SUITE 101
BURBANK, CA 91505-4800
Phone number: 818-295-6944
Copy
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