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1316143472
MARINA VERGILIS
MARINA DEL REY, CA
NPI
1316143472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA18548)
Enumeration Date
2007-06-26
Last Update Date
2009-01-18
Business Address
-- MARINA VERGILIS PA-C
13326 MAXELLA AVE UNIT 3
MARINA DEL REY, CA 90292-5639
Phone number: 310-593-4119
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Mailing Address
-- MARINA VERGILIS PA-C
18370 BURBANK BLVD SUITE 407
TARZANA, CA 91356-2804
Phone number: 818-996-4242
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