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1275189466
TANYA GIDISH
LOS ANGELES, CA
NPI
1275189466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95012445)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
TANYA GIDISH PNP
4650 W SUNSET BLVD
LOS ANGELES, CA 90027-6062
Phone number: 323-660-2450
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Mailing Address
TANYA GIDISH PNP
5406 BURNET AVE
SHERMAN OAKS, CA 91411-3506
Phone number: 818-267-4704
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