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1982892956
EDILITA DE BODA
HARBOR CITY, CA
NPI
1982892956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA pa 15259)
Enumeration Date
2007-10-04
Last Update Date
2008-05-06
Business Address
-- EDILITA DE BODA PAC
1535 LOMITA BLVD
HARBOR CITY, CA 90710-2024
Phone number: 310-530-9300
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Mailing Address
-- EDILITA DE BODA PAC
1535 LOMITA BLVD
HARBOR CITY, CA 90710-2024
Phone number: 310-530-9300
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