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1336728096
MELANIE HELEN DE SHADAREVIAN
SAN DIEGO, CA
NPI
1336728096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
MELANIE HELEN DE SHADAREVIAN DO
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103-2105
Phone number: 619-294-8111
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Mailing Address
MELANIE HELEN DE SHADAREVIAN DO
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103-2105
Phone number:
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