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1134620768
MARIAM HANNA ERVIN
SAN BERNARDINO, CA
NPI
1134620768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 55370)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
MARIAM HANNA ERVIN PA-C
355 E 21ST ST STE F
SAN BERNARDINO, CA 92404-4851
Phone number: 909-886-5251
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Mailing Address
MARIAM HANNA ERVIN PA-C
7608 PLUMARIA DR
FONTANA, CA 92336-1657
Phone number:
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