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1932584430
LYDIA SUWITA DANG
LOS ANGELES, CA
NPI
1932584430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95002749)
Enumeration Date
2015-07-25
Last Update Date
2018-09-13
Business Address
LYDIA SUWITA DANG PNP
4650 SUNSET BLVD. MAILSTOP 66
LOS ANGELES, CA 90027-6062
Phone number: 323-361-4148
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Mailing Address
LYDIA SUWITA DANG PNP
4650 SUNSET BLVD. MAILSTOP 66
LOS ANGELES, CA 90027-3632
Phone number:
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