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1174039143
KAYLAN MAVRICH
TORRANCE, CA
NPI
1174039143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95006085)
Enumeration Date
2017-12-28
Last Update Date
2023-01-24
Business Address
KAYLAN MAVRICH NP
3330 LOMITA BLVD
TORRANCE, CA 90505-5002
Phone number: 310-325-9110
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Mailing Address
KAYLAN MAVRICH NP
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number: 310-423-6665
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