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1336601566
MAYA TAISA STAWNYCHY
SAN DIEGO, CA
NPI
1336601566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 178189)
Enumeration Date
2019-04-05
Last Update Date
2023-06-07
Business Address
MAYA TAISA STAWNYCHY
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
MAYA TAISA STAWNYCHY
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 800-926-8273
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