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1316767114
MELISSA JEAN HEAVIRLAND
TUSTIN, CA
NPI
1316767114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA65225)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
MELISSA JEAN HEAVIRLAND PA-C
17612 17TH ST STE 101
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
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Mailing Address
MELISSA JEAN HEAVIRLAND PA-C
33 TUMBLEWEED ST
TRABUCO CANYON, CA 92679-5318
Phone number:
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