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1972758159
LEONARDO O GRANADOS
LOS ANGELES, CA
NPI
1972758159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CA PA17904)
Enumeration Date
2008-12-01
Last Update Date
2008-12-01
Business Address
-- LEONARDO O GRANADOS PA-C
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-226-7792
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Mailing Address
-- LEONARDO O GRANADOS PA-C
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 323-226-7792
Copy
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