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1326340308
MICHAEL ELIST
TARZANA, CA
NPI
1326340308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A11440)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
Dr. MICHAEL ELIST
5027 SHIRLEY AVE
TARZANA, CA 91356-4427
Phone number: 818-881-5656
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Mailing Address
Dr. MICHAEL ELIST
5027 SHIRLEY AVE
TARZANA, CA 91356-4427
Phone number:
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