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1972704864
DEBRA OMOTOSHO
HARBOR CITY, CA
NPI
1972704864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12547)
Enumeration Date
2007-05-30
Last Update Date
2008-09-23
Business Address
DEBRA OMOTOSHO PA
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111
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Mailing Address
DEBRA OMOTOSHO PA
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111
Copy
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