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1134961774
MIRA MAKAR
COSTA MESA, CA
NPI
1134961774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
MIRA MAKAR
940 S COAST DR
COSTA MESA, CA 92626-7735
Phone number: 949-743-1457
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Mailing Address
MIRA MAKAR
16173 MOUNT OLANCHA ST
FOUNTAIN VALLEY, CA 92708-1234
Phone number: 714-248-3838
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