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1114112596
SIBU RAJAN
GRANADA HILLS, CA
NPI
1114112596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 19141)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Mr. SIBU RAJAN PA
16907 DEVONSHIRE ST
GRANADA HILLS, CA 91344-7407
Phone number: 818-366-4626
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Mailing Address
Mr. SIBU RAJAN PA
16907 DEVONSHIRE ST
GRANADA HILLS, CA 91344-7407
Phone number: 818-366-4626
Copy
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