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1174777536
ELMIRA MIRA SHISHIM
VENTURA, CA
NPI
1174777536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19995)
Enumeration Date
2008-11-12
Last Update Date
2013-03-21
Business Address
-- ELMIRA MIRA SHISHIM PA
200 S WELLS RD SUITE 200
VENTURA, CA 93004-1377
Phone number: 805-659-1740
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Mailing Address
-- ELMIRA MIRA SHISHIM PA
200 S WELLS RD SUITE 200
VENTURA, CA 93004-1377
Phone number: 805-659-1740
Copy
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