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Individual
PAULA PHALLA SAM
Active
Individual
PAULA PHALLA SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PT34503
CA
163W00000X
Registered Nurse
Primary
95167659
CA
Other
Enumeration date
11/15/2012
Last updated
03/03/2020
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