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1083248942
CARLY ROSE DEVIRIAN
LOS ANGELES, CA
NPI
1083248942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95013513)
Enumeration Date
2020-02-28
Last Update Date
2020-07-10
Business Address
CARLY ROSE DEVIRIAN
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1411
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Mailing Address
CARLY ROSE DEVIRIAN
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 310-560-8570
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