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1225353048
TANYA M MCGOVERN
LOS ANGELES, CA
NPI
1225353048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 952412)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
-- TANYA M MCGOVERN RD
FILE # 54433
LOS ANGELES, CA 90074-0001
Phone number: 858-784-5645
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Mailing Address
-- TANYA M MCGOVERN RD
9894 GENESEE AVE
LA JOLLA, CA 92037-1235
Phone number: 858-626-6066
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