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Individual

MR. CORY MORRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
5413 W 123RD ST, HAWTHORNE, CA 90250-3422
(310) 725-9547
Mailing address
5413 W 123RD ST, HAWTHORNE, CA 90250-3422

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
14475
CA

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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