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1942632609
TINA HUTTAYASOMBOON
LOS ANGELES, CA
NPI
1942632609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 21685)
Enumeration Date
2013-08-05
Last Update Date
2014-02-19
Business Address
Mrs. TINA HUTTAYASOMBOON NP
1100 N STATE ST
LOS ANGELES, CA 90033-5000
Phone number: 323-409-7791
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Mailing Address
Mrs. TINA HUTTAYASOMBOON NP
1100 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-409-7791
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