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1992386312
TIFFANY LE
TUSTIN, CA
NPI
1992386312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59103)
Enumeration Date
2021-04-16
Last Update Date
2022-05-09
Business Address
TIFFANY LE PA
14642 NEWPORT AVE STE 200
TUSTIN, CA 92780-6058
Phone number: 714-247-0300
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Mailing Address
TIFFANY LE PA
14642 NEWPORT AVE STE 300
TUSTIN, CA 92780-6059
Phone number: 714-247-0300
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